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Contact Information

RANDALL S PERRY DDS PA
1132 DAVIE AVE
STATESVILLE, NC28677
 Phone: 704-881-0990
 Fax: 704-872-8541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for RANDALL S PERRY DDS PA

NPI # 1033325014
LBN Legal business name RANDALL S PERRY DDS PA
Authorized official RANDALL PERRY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2007
Last updated 06/12/2015 - About 11 years ago
Identifiers
NC License # 6074
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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