MEDICARE: DR. JAMES DENVER PERKINS JR. D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	15356	MD

General Provider Information

NPI Number	:	1073938031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES DENVER PERKINS JR. D.D.S.

Provider Business Mailing Address
First Line	:	4000 ANNAPOLIS RD REAR 101
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21227-3611
Country	:	US
Telephone Number	:	410-789-0551
Fax Number	:	410-789-7740

Provider Business Practice Location Address
First Line	:	4000 ANNAPOLIS RD REAR 101
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21227-3611
Country	:	US
Telephone Number	:	410-789-0551
Fax Number	:	410-789-7740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2014
Last Update Date	:	10/13/2023

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