Healthcare Provider Details

I. General information

NPI: 1124938782
Provider Name (Legal Business Name): PERRY AND LEE DENTAL PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375-A, 1375 SAN CARLOS AVE #A
SAN CARLOS CA
94070
US

IV. Provider business mailing address

1375-A, 1375 SAN CARLOS AVE #A
SAN CARLOS CA
94070
US

V. Phone/Fax

Practice location:
  • Phone: 650-593-9888
  • Fax:
Mailing address:
  • Phone: 650-593-9888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLISON PERRY
Title or Position: PARTNER
Credential: DMD
Phone: 650-867-6005