Dr. Michael Mark Perl
Periodontist
61 S Main St
West Hartford
, Connecticut 06107-2486
Dr. Michael Mark Perl
Periodontist
61 S Main St
West Hartford
, Connecticut 06107-2486
(860) 767-2112
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Michael Mark Perl
- 71 S Main St
- Essex, CT
- Zip : 06426-1147
- Fax : (860) 767-2112
- Phone : (860) 767-1311
Second Address
- Dr. Michael Mark Perl
- 61 S Main St
- West Hartford, CT
- Zip : 06107-2486
- Fax : (860) 236-2282
- Phone : (860) 236-2566
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | CT3765 | CT |
National Provider Identifier
| NPI | 1013120906 |
|---|---|
| Provider Name | Dr. Michael Mark Perl |
| First Address | Essex, CT 06426-1147 |
| Second Address | West Hartford, CT 06107-2486 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.