# MICHAEL S. PEREZ D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013066448
- **Authorized official:** DR. MICHAEL SAMUEL PEREZ D.D.S. (PRESIDENT)
- **Authorized official phone:** (219) 836-5787

## Contact information

- **Practice address:** 625 RIDGE RD STE B, MUNSTER, IN 46321-1695
- **Practice address phone:** (219) 836-5787
- **Practice address fax:** (219) 836-4823
- **Mailing address:** 625 RIDGE RD STE B, MUNSTER, IN 46321-1695
- **Mailing address phone:** (219) 836-5787
- **Mailing address fax:** (219) 836-4823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009775 | IN | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020