Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1700818002 Deactivated / Inactive NPI Male Practitioner

Dr. James H Perry , DDS

Dentist - General Practice • Prior Lake, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Perry has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2006
NPI Deactivation Date July 25, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. James Perry, DDS was a registered Dentist - General Practice practicing in Prior Lake, MN. Throughout an active medical career spanning 12 years, Dr. Perry provided care at the practice location at 16154 MAIN AVE SE until profile deactivation on 2018-07-25.

Practice Location & Contact Primary Location

Practice Address

16154 Main Ave Se
Suite 110a

Prior Lake, MN 55372

Telephone 9524476290
Fax 9524476292
Associated Practice Facility / Clinic
🏢 Aligned Lifestyle Inc Facility NPI 1457593121

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Prior Lake, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Prior Lake, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN 11026

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Mary Wolf

Massage Therapist

NPI 1548627979

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 25, 2018

Record deactivated on July 25, 2018

NPI Profile Active November 10, 2009

NPI status registered as active in NPPES database

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Updated Practice Location November 10, 2009

Registered at 16154 MAIN AVE SE, SUITE 110A, PRIOR LAKE, MN 55372 (Tel: 9524476290)

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Updated Business Mailing Address November 10, 2009

Registered at 16154 MAIN AVE. SE, SUITE 110A, PRIOR LAKE, MN 55372 (Tel: 9524476290)

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Provider Name / Credentials Updated November 10, 2009

Recorded as JAMES PERRY, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2009

Dentist (License #11026 in MN)

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Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700818002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2006
Last Update: November 10, 2009
Deactivation Date: July 25, 2018

Mailing Address

16154 Main Ave. Se, Suite 110a

Prior Lake, MN 55372

Phone: 9524476290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.