| Perry Dental, Ltd | |
| 
					515 Jefferson Ave S.w. Eyota MN 55934  | |
| (507) 585-5200 | |
| (507) 585-5202 | 
| Full Name | Perry Dental, Ltd | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 515 Jefferson Ave S.w., Eyota, Minnesota | 
| Authorized Official Name and Position | Joseph Thomas Line (DENTIST) | 
| Authorized Official Contact | 5075855200 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Perry Dental, Ltd 515 Jefferson Ave S.w. Eyota MN 55934 Ph: (507) 585-5200  | Perry Dental, Ltd 515 Jefferson Ave S.w. Eyota MN 55934 Ph: (507) 585-5200  | 
| NPI Number | 1417469198 | 
|---|---|
| Provider Enumeration Date | 11/02/2017 | 
| Last Update Date | 11/02/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417469198 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12826 (Minnesota) | Primary |