Individual provider · Type 1 NPI

Stephen John Persichetti, DDS

General Practice Dentistry · Portland, OR

NPI number 1114932779 Active

About NPI 1114932779

Stephen John Persichetti, DDS's National Provider Identifier is 1114932779, issued on Jul 30, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.