Provider Demographics
NPI:1518219013
Name:PERFECT DENTAL, LLC
Entity Type:Organization
Organization Name:PERFECT DENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF DENTAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ARVINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWHNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-633-7121
Mailing Address - Street 1:48 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901-1005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:48 MARKET ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1005
Practice Address - Country:US
Practice Address - Phone:781-592-8500
Practice Address - Fax:781-592-8505
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PERFECT DENTAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN218431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty