Individual
DR. DAVID H PERELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9451 WESTPORT ROAD, SUITE109, LOUISVILLE, KY 40241
(502) 412-5900
(502) 412-3005
Mailing address
9451 WESTPORT ROAD, SUITE 109, LOUISVILLE, KY 40241
(502) 412-5900
(502) 412-3005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6180
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60061801
—
KY
Enumeration date
11/16/2005
Last updated
04/16/2015
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