MEDICARE: ROBERT S PERKINS DDS

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	122300000X	Dentist	38116	CA

General Provider Information

NPI Number	:	1922756386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT S PERKINS DDS

Provider Business Mailing Address
First Line	:	24955 PACIFIC COAST HWY STE C100
Second Line	:
City	:	MALIBU
State	:	CA
Zip	:	90265-4749
Country	:	US
Telephone Number	:	310-456-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	24955 PACIFIC COAST HWY STE C100
Second Line	:
City	:	MALIBU
State	:	CA
Zip	:	90265-4749
Country	:	US
Telephone Number	:	310-456-5700
Fax Number	:	310-456-1475

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

Provider Enumeration Date	:	03/15/2022
Last Update Date	:	03/15/2022

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Directions to “ ROBERT S PERKINS DDS” Practice Location

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