Jessica Perry, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901023214 Issued in MI

Practice address

1020 E Michigan Ave
Saline, MI 48176-1525

Phone

(734) 429-7676

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Grimmer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1619537883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4148 ROLLING MEADOW LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761525",
            "telephone_number": "734-429-7676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Linden Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323451",
            "country_code": "US",
            "telephone_number": "810-733-3410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JESSICA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901023214",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901023214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GRIMMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan K Patterson, LMSW,ACSW
• Pear Tree Dental
• Brian Scott Pearson, PH.D.
• Elisa B. Pease, MD
• Deborah Lynn Peery, M.D.
• Emily Petrous, M.A., CCC-SLP
• Jessica Phegley
• Lillie Phelps
• Physiotherapy Associates Inc
• Timothy Ned Pickens, DDS,MS

• Dentist in Saline, MI
• Providers in Saline, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.