Provider Demographics
NPI:1881793594
Name:PERLMAN, ARNOLD HARRIS (DDS)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:HARRIS
Last Name:PERLMAN
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 1:2364 MIDDLE COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-3502
Mailing Address - Country:US
Mailing Address - Phone:631-981-9898
Mailing Address - Fax:631-981-8859
Practice Address - Street 1:2364 MIDDLE COUNTRY RD
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-3502
Practice Address - Country:US
Practice Address - Phone:631-981-9898
Practice Address - Fax:631-981-8859
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028129-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NP9DG0003OtherOTHER: TESIAPCI NUMBER-COMMERCIAL NUMBER