Provider Demographics
NPI:1366734956
Name:PERRY, DAVID DENNIS
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:DENNIS
Last Name:PERRY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2544 BAINBRIDGE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-1859
Mailing Address - Country:US
Mailing Address - Phone:573-126-7907
Mailing Address - Fax:757-917-5456
Practice Address - Street 1:2544 BAINBRIDGE BLVD STE B
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324-1859
Practice Address - Country:US
Practice Address - Phone:757-312-6790
Practice Address - Fax:757-917-5456
Is Sole Proprietor?:No
Enumeration Date:2011-05-14
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02020070361835P2201X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care