MEDICARE: DR. GEORGE LAWRENCE PERRY 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	D6086	AZ

General Provider Information

NPI Number	:	1770577140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE LAWRENCE PERRY D.D.S.

Provider Business Mailing Address
First Line	:	10700 N LA RESERVE DR
Second Line	:	4206
City	:	ORO VALLEY
State	:	AZ
Zip	:	85737-9199
Country	:	US
Telephone Number	:	520-219-7985
Fax Number	:

Provider Business Practice Location Address
First Line	:	10700 N LA RESERVE DR
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85737-9078
Country	:	US
Telephone Number	:	520-219-7985
Fax Number	:

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	06/28/2025

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