Individual provider · Type 1 NPI

Nickeisha Perez, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Bala Cynwyd, PA

NPI number 1275360836 Active

Practice location

1 Belmont Ave Ste 414
Bala Cynwyd, PA 19004-1607

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	22DI03059600 (NJ)
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DS045660 (PA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1275360836

Nickeisha Perez, DMD's National Provider Identifier is 1275360836, issued on Sep 17, 2024. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bala Cynwyd, PA. The record was last updated on Sep 25, 2026.