Provider Demographics
NPI:1427168012
Name:PERKINS, CHRIS EDWARD (DDS, PA)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:EDWARD
Last Name:PERKINS
Suffix:
Gender:M
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3818 ECHO MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-2045
Mailing Address - Country:US
Mailing Address - Phone:281-360-0872
Mailing Address - Fax:
Practice Address - Street 1:611 ROCKMEAD DR
Practice Address - Street 2:SUITE 400
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2258
Practice Address - Country:US
Practice Address - Phone:281-358-3384
Practice Address - Fax:281-358-8775
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX163831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice