Individual provider · Type 1 NPI
Lisa Marie Perrotta, DMD
General Practice Dentistry · Philadelphia, PA
NPI number
1104030600
Active
Practice location
5501 Old York Rd
Philadelphia, PA 19141-3018
Mailing address
16 Totten Ct
Marlboro, NJ 07746-2800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DS036557 (PA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1104030600
Lisa Marie Perrotta, DMD's National Provider Identifier is 1104030600, issued on May 10, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.