Provider Demographics
NPI:1487877676
Name:PERKINS, ALLYN G (DMD)
Entity type:Individual
Prefix:DR
First Name:ALLYN
Middle Name:G
Last Name:PERKINS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 RITNER HWY
Mailing Address - Street 2:SUITE #2
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-9310
Mailing Address - Country:US
Mailing Address - Phone:717-249-1646
Mailing Address - Fax:717-249-0951
Practice Address - Street 1:1909 RITNER HWY
Practice Address - Street 2:SUITE #2
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-9310
Practice Address - Country:US
Practice Address - Phone:717-249-1646
Practice Address - Fax:717-249-0951
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADL029054L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist