Perry, Calley Jo

Perry, Calley Jo is an individual health care provider with primary practice located at 445 S Illinois Ave , Oak Ridge TN 37830-7510. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Perry, Calley Jo can be contacted via phone (865) 272-2637.

Contact Information

Primary practice address
445 S Illinois Ave Oak Ridge TN 37830-7510
Phone: (865) 272-2637
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7742 Tennessee
Dental Providers / Dentist 122300000X 7742 Tennessee
Dental Providers / Dentist 122300000X 9158 Kentucky

Profile Details

NPI number 1639192289
LBN Legal business name Perry, Calley Jo
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639192289 NPPES
Tennessee MEDICAID 17883
Tennessee MEDICAID 5441234

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