Provider Demographics
NPI:1548643604
Name:JOSEPH H PERI DDS INC
Entity type:Organization
Organization Name:JOSEPH H PERI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCULLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-825-9225
Mailing Address - Street 1:175 BRINKBY AVE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4327
Mailing Address - Country:US
Mailing Address - Phone:775-825-9225
Mailing Address - Fax:775-825-9366
Practice Address - Street 1:175 BRINKBY AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4327
Practice Address - Country:US
Practice Address - Phone:775-825-9225
Practice Address - Fax:775-825-9366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty