Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BERTEL THORWALDSEN PERRY III, DMD
ActiveDR. BERTEL THORWALDSEN PERRY III, DMD is a General Dentistry healthcare provider located in CANDOR, New York. NPI 1922098755 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · CANDOR, NY
Registration Details
- NPI Number
- 1922098755
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2005 (20.81722979584 yrs)
- Last Updated
- Jul 8, 2007
- License
-
038858 (NY)
Practice Information
- Address
-
12 MAIN STREETCANDOR, NY, 137430071Browse NY providers · Browse ZIP 13743
- Phone
- 6076594050
- Fax
- 6076594644
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.