Provider Demographics
NPI:1760424501
Name:PERRY, JOSEPH F (DDS)
Entity Type:Individual
Prefix:PROF
First Name:JOSEPH
Middle Name:F
Last Name:PERRY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 W RIVER RD
Mailing Address - Street 2:
Mailing Address - City:RUMSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07760-1345
Mailing Address - Country:US
Mailing Address - Phone:732-530-4810
Mailing Address - Fax:732-576-1642
Practice Address - Street 1:45 W RIVER RD
Practice Address - Street 2:
Practice Address - City:RUMSON
Practice Address - State:NJ
Practice Address - Zip Code:07760-1345
Practice Address - Country:US
Practice Address - Phone:732-530-4810
Practice Address - Fax:732-576-1642
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice