MEDICARE: RICARDO PEREZ DMD PLLC

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

General Provider Information

NPI Number	:	1881522266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICARDO PEREZ DMD PLLC

Provider Business Mailing Address
First Line	:	5007 ASHIE AVE
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28104-5115
Country	:	US
Telephone Number	:	480-793-3983
Fax Number	:

Provider Business Practice Location Address
First Line	:	4121 MEADOWDALE BLVD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23234-5500
Country	:	US
Telephone Number	:	804-303-9654
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICARDO H. PEREZ
Credential	:	DMD
Telephone Number	:	480-793-3983

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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