Travis Edward Perry, D.D.S

Dentist · Moosic, PA

Individual Active NPI Reactivated January 17, 2020

NPI number 1104266824

Practice location

502 Church Street
Moosic, PA 18507
Phone
(570) 344-3500
Fax
(570) 344-9442

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NPI record

NPI
1104266824
Entity type
Individual (Type 1)
Enumeration date
June 26, 2013
Last updated
January 28, 2020
Certified
January 28, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DS039537 PA

Mailing address

1401 S 31st St
Fl 2
Philadelphia, PA 19146-3506
Phone
(215) 925-2400
Fax
(215) 925-9162

About Dr. Perry

Travis Edward Perry, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 502 Church Street, Moosic, PA 18507. The NPI number 1104266824 was assigned on June 26, 2013 and the record was last updated on January 28, 2020.

Dr. Perry lists a license in the registry: #DS039537 (PA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Travis Edward Perry, D.D.S?

The NPI number is 1104266824.

What is the phone number of Dr. Perry?

The phone number listed for the practice location is (570) 344-3500.

Where is Dr. Perry located?

502 Church Street, Moosic, PA 18507.

What is the taxonomy code for Dr. Perry?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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