Dr. Timoth Richardson Perry, D.D.S.
Dentist, General Practice in Monroe, LA. Individual provider (NPI-1).
NPI number1255460465
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255460465
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timoth Richardson Perry
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4301 | LA | Yes |
Practice location
3115 Mercedes DrMonroe, LA 71201-5153
Phone 318-322-0576
Mailing address
3115 Mercedes DrMonroe, LA 71201-5153
Phone 318-322-0576
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