Evan L Perry Dds Pc

LBN: Evan L Perry Dds Pc
Evan L Perry Dds Pc is an health care organization with primary practice located at 320 River Park Dr Suite 225, Provo UT 84604-6060. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Evan L Perry Dds Pc can be contacted via phone (801) 225-7111, or through Perry, Evan Lee via phone (801) 225-7111.

Contact Information

Primary practice address
320 River Park Dr Suite 225 Provo UT 84604-6060
Phone: (801) 225-7111
Fax: (801) 764-9777
Website:
Map and Directions
Authorized official contact:
Name: Perry, Evan Lee Doctor of Dental Surgery (DDS)
Phone: (801) 225-7111

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 142103 Utah

Profile Details

NPI number 1134244734
LBN Legal business name Evan L Perry Dds Pc
DBA Doing business as
Authorized official Perry, Evan Lee Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Oct 14th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134244734 NPPES
Utah MEDICAID 528906301003

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