Organization · Type 2 NPI
Randall S Perry DDS PA
Periodontics · Statesville, NC
NPI number
1033325014
Active
Practice location
1132 Davie Ave
Statesville, NC 28677
Fax (704) 872-8541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 6074 (NC) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1033325014
Randall S Perry DDS PA's National Provider Identifier is 1033325014, issued on May 15, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Statesville, NC. The record was last updated on Jun 12, 2015.