Provider Demographics
NPI:1780945840
Name:PERLMUTTER, SETH (DMD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:
Last Name:PERLMUTTER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PROSPECT AVE.
Mailing Address - Street 2:CENTER FOR DENTISTRY
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601
Mailing Address - Country:US
Mailing Address - Phone:201-996-2111
Mailing Address - Fax:201-996-2334
Practice Address - Street 1:30 PROSPECT AVE
Practice Address - Street 2:CENTER FOR DENTISTRY
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1914
Practice Address - Country:US
Practice Address - Phone:201-996-2111
Practice Address - Fax:201-996-2334
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI 02501200122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist