Individual provider · Type 1 NPI
Bertel Thorwaldsen Perry Iii, DMD
General Practice Dentistry · Candor, NY
NPI number
1922098755
Active
Practice location
12 Main Street
Candor, NY 13743-0071
Fax (607) 659-4644
Mailing address
PO Box 71
Candor, NY 13743-0071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 038858 (NY) |
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.
About NPI 1922098755
Bertel Thorwaldsen Perry Iii, DMD's National Provider Identifier is 1922098755, issued on Oct 24, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Candor, NY. The record was last updated on Jul 13, 2026.