Individual
DR. TYSON PERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2105 WEBER AVE, LOUISVILLE, KY 40205-2110
(502) 473-2011
(502) 473-2013
Mailing address
2105 WEBER AVE, LOUISVILLE, KY 40205-2110
(502) 473-2011
(502) 473-2013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9054
KY
1223G0001X
General Practice Dentistry
Primary
9054
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100178410
—
KY
Enumeration date
06/16/2009
Last updated
08/09/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us