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General NPI Number Information
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NPI Number | 1730184771
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Entity Type | Individual
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Provider Name | DR. JOHVIN PERRY
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 480 CENTRAL AVE
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City | PEARL HARBOR
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State | HI
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Zip | 96860-4908
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Country | US
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Telephone | 808-474-4242
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Fax |
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Provider Business Mailing Address
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Address Line | NAVAL HOSPITAL YOKOSUKA JAPAN PSC 475 BX1
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City | FPO
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State | AP
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Zip | 96350-1200
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Country | US
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Telephone | 315-243-8808
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60267320
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 45603
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 45603
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DE60267320
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License Number State | WA
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