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PERRY FAMILY DENTISTRY LLC NPI 1013189034


NPI Information

NPI: 1013189034
Provider Name: PERRY FAMILY DENTISTRY, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1121 GREENLAND DR
MURFREESBORO, TN
ZIP 37130
Phone: (615) 896-3360
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PERRY FAMILY DENTISTRY, LLC is a general practice dentist in Murfreesboro, TN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PERRY FAMILY DENTISTRY, LLC NPI is 1013189034. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1121 GREENLAND DR
MURFREESBORO, TN
ZIP 37130-751
Phone: (615) 896-3360
Fax: (616) 589-6105

The provider's authorized official is Aldrich Tyrone Perry .
The authorized official title is Owner/dentist and has the following contact phone number (615) 896-3360.

The enumeration date for this NPI number is 3/31/2008 and was last updated on 3/31/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDS0000004658TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13225329MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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