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General NPI Number Information
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NPI Number | 1104960723
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Entity Type | Organization
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Legal Business Name | DONALD C. PERRY, D.D.S.
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 601 SHORE RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-2530
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Country | US
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Telephone | 609-641-2700
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Fax | 609-641-5275
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Provider Business Mailing Address
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Address Line | 601 SHORE RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-2530
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Country | US
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Telephone | 609-641-2700
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Fax | 609-641-5275
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD C PERRY
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Credential | D.D.S.
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Telephone | 609-641-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI00703800
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License Number State | NJ
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