Organization
ANTHONY J. PERROTTA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JAMES PERROTTA DDS (PRESIDENT)
(631) 689-6969
Entity
Organization
Contact information
Practice address
3771 NESCONSET HWY, SUITE 107, SOUTH SETAUKET, NY 11720-1163
(631) 689-6969
(631) 689-6305
Mailing address
3771 NESCONSET HWY, SUITE 107, SOUTH SETAUKET, NY 11720-1163
(631) 689-6969
(631) 689-6305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046607
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02361562
—
NY
Enumeration date
05/21/2008
Last updated
05/21/2008
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