MEDICARE: JAMES D PERKINS DDS LLC

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	261QD0000X	Dental Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1073938031	OTHER	MD	ALL INSURANCE AND MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497228936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES D PERKINS DDS LLC

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	:	410-789-0551

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	:	410-789-0551

Authorized Official
Title or Position	:	OFFICE MGR
Name	:	TERRI BARNES
Credential	:
Telephone Number	:	410-522-8852

Provider Enumeration Date	:	01/08/2019
Last Update Date	:	01/08/2019

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Directions to “JAMES D PERKINS DDS LLC ” Practice Location

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