Scott Robert Perron, DDS
Individual provider Active NPI General Practice Dentistry · Elk Rapids, MI
NPI 1104894492 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1104894492
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 745985 (MI)
- Practice address
- 103 Brand St.
Elk Rapids, MI 49629 - Phone
- (231) 264-6300
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 745985 | MI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 745985 | MI | Yes |
Addresses
Primary practice location
103 Brand St.
Elk Rapids, MI 49629
Mailing address
103 Brand St.
Elk Rapids, MI 49629
Phone (231) 264-6300
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- Lucinda Kay Polemitis
- Steven M Pray
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- Matthew Douglas Reckinger
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All providers in Elk Rapids, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.