Healthcare Provider Details

I. General information

NPI: 1457862831
Provider Name (Legal Business Name): JASON PERLMAN DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2017
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22219 MOUNTAIN HWY E STE A3
SPANAWAY WA
98387-7557
US

IV. Provider business mailing address

5105 GRAND LOOP UNIT 101
TACOMA WA
98407-3175
US

V. Phone/Fax

Practice location:
  • Phone: 360-489-6594
  • Fax:
Mailing address:
  • Phone: 330-727-3106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON PERLMAN
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 330-727-3106