Provider Demographics
NPI:1881437085
Name:AMY J PERLOW, DMD, PLLC
Entity type:Organization
Organization Name:AMY J PERLOW, DMD, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-916-6100
Mailing Address - Street 1:11725 EASTHAMPTON CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3391
Mailing Address - Country:US
Mailing Address - Phone:412-916-6100
Mailing Address - Fax:
Practice Address - Street 1:328 MAIN ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NC
Practice Address - Zip Code:28716-4478
Practice Address - Country:US
Practice Address - Phone:828-424-9642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-15
Last Update Date:2024-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental