Kimberly Ann Perlot, EPDH, RDH
Dental Therapist in Redmond, OR. Individual provider (NPI-1).
NPI number1164073904
StatusActive
Last updated in NPPESAug 18, 2023
Details
- NPI
- 1164073904
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly Ann Perlot
- Credential
- EPDH, RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2019
- Certification date
- Aug 18, 2023
- Last updated
- Aug 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 125J00000X | Dental Therapist | DT0010 | OR | Yes |
| 124Q00000X | Dental Hygienist | H7180 | OR |
Practice location
1555 S Highway 97 Ste 102Redmond, OR 97756-9652
Phone 800-525-6800
Mailing address
610 Hawthorne AveSuite #200
Salem, OR 97301
Phone 800-525-6800 · Fax 503-581-0043
Other practice locations
212 Sw 4th St Ste 101
Madras, OR 97741-1322
Madras, OR 97741-1322
Phone 541-279-2382
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