Individual
PAUL C PERACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7708
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020007708CT01
ANTHEM BLUE CROSS
CT
01
—
2V5967
HEALTHNET
CT
01
—
762391
CONNECTICARE
CT
01
—
P3603721
OXFORD
CT
Enumeration date
03/29/2006
Last updated
07/13/2026
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