Gerry B Perez, DMD
Individual provider Active NPI Dentist · Dunbar, PA
NPI 1356431399 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1356431399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS028337L (PA)
- Practice address
- 43 Connellsville St
Dunbar, PA 15431-1536 - Phone
- (724) 277-0202
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DS028337L | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS028337L | PA | Yes |
Addresses
Primary practice location
43 Connellsville St
Dunbar, PA 15431-1536
Mailing address
43 Connellsville St
Dunbar, PA 15431-1536
Phone (724) 277-0202
Other providers in Dunbar, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.