Provider Demographics
NPI:1821017609
Name:PERRONE, JOSEPH A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:PERRONE
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 1:800 N CHURCH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-1744
Mailing Address - Country:US
Mailing Address - Phone:856-235-0905
Mailing Address - Fax:856-235-5111
Practice Address - Street 1:800 N CHURCH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1744
Practice Address - Country:US
Practice Address - Phone:856-235-0905
Practice Address - Fax:856-235-5111
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI142581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice