Individual provider · Type 1 NPI

Ethan Harrison Perellis, DMD

General Practice Dentistry · Louisville, KY

NPI number 1629642079 Active

Practice location

9451 Westport Rd Ste 109
Louisville, KY 40241-2295

Call (502) 412-5900 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X10582 (KY)

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 1629642079

Ethan Harrison Perellis, DMD's National Provider Identifier is 1629642079, issued on May 19, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Louisville, KY. The record was last updated on May 19, 2021.