DR. EVAN L PERRY (NPI# 1104184837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104184837 |
| Entity Type | Individual |
| Full Name | DR. EVAN L PERRY |
| Credential | D D S |
| Practice Address |
320 River Park Dr Suite 225 Provo UT 84604-6060 |
| Practice Telephone | 8012257111 |
| Practice Fax Number | 8017649777 |
| Mailing Telephone | 8012257111 |
| Mailing Fax Number | 8017649777 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
142103 | UT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | GROUP NPI | 1134244734 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033516323 | Evan Perry | Registered Nurse | 3922 Monticello Ave, Bronx, NY 10466-2422 | 2014-12-02 |
| 1073856621 | Evan J Perry | Chiropractor | 997 N Center Ave, Gaylord, MI 49735-9375 | 2013-04-02 |
| 1487722054 | Evan Peter Perry | Physician Assistant | 130 North Street, Hyannis, MA 02601 | 2006-12-01 |
| Street Address |
320 RIVER PARK DR SUITE 225 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-6060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659305134 | Trevor Koel Tomlinson | Nurse Anesthetist, Certified Registered | 320 River Park Dr, Provo, UT 84604-6060 | 2006-07-10 |
| 1043700859 | La Sal Anesthesia, PC | Anesthesiology | 320 River Park Dr, Provo, UT 84604-6060 | 2018-05-16 |
| 1679726772 | Eric David Freeman | Anesthesiology | 320 River Park Dr, Suite 255, Provo, UT 84604-6060 | 2008-11-03 |
| 1093990210 | The Rose Clinic for Plastic and Migraine Surgery | Specialist | 320 River Park Dr, Suite 245, Provo, UT 84604-6060 | 2008-01-07 |
| 1134244734 | Evan L Perry Dds PC | Dentist | 320 River Park Dr, Suite 225, Provo, UT 84604-6060 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574870 | Tanner Gardner Perry | Dentist | 320 River Park Dr Ste 225, Provo, UT 84604-6065 | 2019-05-28 |
| 1003206350 | Blue Mountain Family Dental | Dentist | 1675 N 200 W #8a, Provo, UT 84604 | 2015-01-26 |
| 1215342282 | Jay D Scott Dds PC | Dentist | 3330 N University Ave Ste A, Provo, UT 84604-4454 | 2014-06-27 |
| 1780939348 | Todd Clinton Groesbeck | Dentist | 247 W 2230 N Ste 101, Provo, UT 84604-7582 | 2012-07-19 |
| 1083978316 | Heath Hendrickson Mbr | Dentist | 2230 N University Pkwy Ste 8a, Provo, UT 84604-6702 | 2012-07-02 |
| 1639472665 | Gregory William Sefcik | Dentist | 1383 W 1825 N, Provo, UT 84604-1125 | 2010-12-14 |
| 1093043143 | Chris Hammond | Dentist | 3575 N 100 E Ste 200, Provo, UT 84604-6653 | 2009-12-01 |
| 1043440357 | Paul Henry Rogers | Dentist | 777 N. 500 W., #201, Provo, UT 84601 | 2009-07-21 |
| 1336309640 | Owen E Wolfgramm | Dentist | 2476 N University Pkwy Ste 101, Provo, UT 84604-3801 | 2008-06-10 |
| 1013111277 | Robert L. Hamblin, D.d.s. | Dentist | 3200 N Canyon Rd Ste F, Provo, UT 84604-4571 | 2007-06-12 |
| Find all providers in PROVO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.