Organization
ROBERT J. PERREAULT, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN PERREAULT DDS (PRESIDENT)
(603) 362-8410
Entity
Organization
Contact information
Practice address
12 MAIN ST, ATKINSON, NH 03811-2514
(603) 362-8410
(603) 362-5493
Mailing address
12 MAIN ST, ATKINSON, NH 03811-2514
(603) 362-8410
(603) 362-5493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2293
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003666
—
NH
01
—
ZZ7474
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/07/2007
Last updated
08/22/2020
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