Organization
DOUGLAS W PERRY DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS WHITE PERRY DDS (OWNER OPERATOR)
(252) 426-9140
Entity
Organization
Contact information
Practice address
181 PERRY LONG RD, HERTFORD, NC 27944
(252) 426-9140
(252) 426-1270
Mailing address
167 PERRY LONG RD, HERTFORD, NC 27944
(252) 426-9140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96837
BCBS
NC
01
—
NC5864
NC BOARD OF DENTAL EXAMIN
NC
Enumeration date
11/17/2006
Last updated
01/03/2013
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