Individual provider · Type 1 NPI
Michael A. Perrino, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · New York, NY
NPI number
1013117076
Active
Practice location
630 W 168th St Ph 7E
New York, NY 10032-3725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 50 057215 (NY) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1013117076
Michael A. Perrino, DDS, MD's National Provider Identifier is 1013117076, issued on Jul 18, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in New York, NY. The record was last updated on Jun 17, 2014.