Provider Demographics
NPI:1659493245
Name:PERRI SAVINO & KETZ LLC
Entity Type:Organization
Organization Name:PERRI SAVINO & KETZ LLC
Other - Org Name:81 NORTHFIELD DENTAL ASSOC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-325-2775
Mailing Address - Street 1:81 NORTHFIELD AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052
Mailing Address - Country:US
Mailing Address - Phone:973-325-2725
Mailing Address - Fax:973-325-0957
Practice Address - Street 1:81 NORTHFIELD AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052
Practice Address - Country:US
Practice Address - Phone:973-325-2725
Practice Address - Fax:973-325-2725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI17080122300000X
NJDI17589122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty