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

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS036557 (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.