Individual
MR. CHARLES EDWARD PERKINS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
921 RIDGE RD, ROXBORO, NC 27573
(336) 599-9126
Mailing address
PO BOX 3520, ROXBORO, NC 27573
(336) 599-9126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4391
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996826
—
NC
Enumeration date
05/15/2007
Last updated
07/08/2007
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