Organization
JOHN W PERRINE, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W PERRINE DDS (OWNER)
(304) 226-5114
Entity
Organization
Contact information
Practice address
7028 WEBSTER RD, COWEN, WV 26206-8720
(304) 226-5114
(304) 226-0650
Mailing address
PO BOX 1079, COWEN, WV 26206-1079
(304) 226-5114
(304) 226-0650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137082000
—
WV
Enumeration date
10/11/2018
Last updated
10/11/2018
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