Perry Dental, LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13823 Issued in MN

Legal business name

PERRY DENTAL, LTD.

Practice address

210 N. Lakeshore Dr.
Lake City, MN 55041

Phone

(651) 345-4677

Fax

(651) 345-0177

NPI assigned

Mar 6, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Ava M. Perry

Title

DDS

Phone

(651) 345-4677

Specialties & licenses 1

Addresses

Tax ID family

Perry Dental LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Perry Dental, LTD

  • General Practice Dentistry
  • Eyota, MN
  • NPI 1417469198
  NPD tax ID
• Perry Dental, LTD

  • General Practice Dentistry
  • Wabasha, MN
  • NPI 1891179958
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Alan Knudsen, DDS

  • Dentist
  • Lake City, MN
  • NPI 1811069362
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1285136242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N. LAKESHORE DR",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "55041",
            "telephone_number": "651-345-4677",
            "fax_number": "651-345-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N. LAKESHORE DR.",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "55041",
            "telephone_number": "651-345-4677",
            "fax_number": "651-345-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY DENTAL, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "AVA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "651-345-4677",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Howard Oeltjen
• Elizabeth Agnes Olson, D.C.
• Leroy Frank Otto, DC
• Patients First LLC
• Pepin Valley Dental
• Alan Wayne Peters
• Douglas David Pflaum, M.D.
• Rebekah Richter, DPT
• Jacob R Ricks, CRNA
• Rebecca Ellen Ripley, D.D.S.

• All providers in Lake City, MN
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.