Provider Demographics
NPI:1639393739
Name:PERRI, JEAN MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:MARIE
Last Name:PERRI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 TOWNSEND AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-3126
Mailing Address - Country:US
Mailing Address - Phone:914-738-3936
Mailing Address - Fax:212-759-3170
Practice Address - Street 1:501 MADISON AVE
Practice Address - Street 2:29 TH FL.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5602
Practice Address - Country:US
Practice Address - Phone:212-688-2820
Practice Address - Fax:212-759-3170
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038335-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist