1972882140 NPI number — PERRY S JUSTICE JR DDS PA

Table of content: (NPI 1972882140)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972882140 NPI number — PERRY S JUSTICE JR DDS PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PERRY S JUSTICE JR DDS PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972882140
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/05/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2575 MAHOGANY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HICKORY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28602-9312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-873-8899
Provider Business Mailing Address Fax Number:
704-294-9914

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2117 SIMONTON RD
Provider Second Line Business Practice Location Address:
SUITE 403
Provider Business Practice Location Address City Name:
STATESVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28625-8206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-873-8899
Provider Business Practice Location Address Fax Number:
704-873-8887
Provider Enumeration Date:
08/05/2011

Additional Information

Authorized Official

Authorized Official Last Name:
JUSTICE
Authorized Official First Name:
PERRY
Authorized Official Middle Name:
S
Authorized Official Title or Position:
DENTIST
Authorized Official Telephone Number:
704-873-8899

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  6835 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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