Perry Dental, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12826 Issued in MN

Legal business name

PERRY DENTAL, LTD

Practice address

515 Jefferson Ave S.W.
Eyota, MN 55934

Phone

(507) 585-5200

Fax

(507) 585-5202

NPI assigned

Nov 2, 2017

Last updated

Nov 2, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

PERRY DENTAL, LTDAs reported in NPPES

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

Authorized official

Name

Mr. Joseph Thomas Line, D.D.S.

Title

Dentist

Phone

(507) 585-5200

Specialties & licenses 1

Addresses

Tax ID family

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

Part of

Perry Dental LTD

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
  • Wabasha, MN
  • NPI 1891179958
  NPD tax ID
• Perry Dental, LTD.

  • General Practice Dentistry
  • Lake City, MN
  • NPI 1285136242
  NPD tax ID

Locations

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1417469198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 JEFFERSON AVE S.W.",
            "city": "EYOTA",
            "state": "MN",
            "postal_code": "55934",
            "telephone_number": "507-585-5200",
            "fax_number": "507-585-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 JEFFERSON AVE S.W.",
            "city": "EYOTA",
            "state": "MN",
            "postal_code": "55934",
            "telephone_number": "507-585-5200",
            "fax_number": "507-585-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY DENTAL, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERRY DENTAL, LTD",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "LINE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "507-585-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Eyota (Arbor Gardens)
• Madisyn Collins-Simones, DC
• Dover-Eyota 533
• Eyota Volunteer Ambulance Service
• Elizabeth Littlefield, REGISTERED NURSE
• Premier Chiropractic LLC (Eyota Chiropractic)
• Mary Kay Sharp Piltingsrud, LPCC
• Cynthia Tri, MSW, LICSW, LSSW,
• Mark Westphal, D.C.

• General Practice Dentistry in Eyota, MN
• Providers in Eyota, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.