DR. MICHAEL MARK PERL (NPI# 1013120906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013120906 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MARK PERL |
| Credential | DDS |
| Practice Address |
61 S Main St West Hartford CT 06107-2486 |
| Mailing Address |
71 S Main St Essex CT 06426-1147 |
| Practice Telephone | 8602362566 |
| Practice Fax Number | 8602362282 |
| Mailing Telephone | 8607671311 |
| Mailing Fax Number | 8607672112 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
CT3765 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110367 | Michael Perl | Audiologist | 2999 Princeton Pike Ste 2, Lawrenceville, NJ 08648-3261 | 2019-08-26 |
| Street Address |
61 S MAIN ST |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639111008 | Julian G Parsons | Internal Medicine | 61 S Main St, 202, West Hartford, CT 06107-2486 | 2006-06-12 |
| 1952794398 | Lucille Quinn | Marriage & Family Therapist | 61 S Main St, West Hartford, CT 06107-2486 | 2015-03-10 |
| 1083971212 | Kevin Purviance Dmd LLC | Clinic/Center | 61 S Main St, Suite 301, West Hartford, CT 06107-2486 | 2012-04-12 |
| 1427178342 | Theodore K Wu | Dentist | 61 S Main St, Suite 311, West Hartford, CT 06107-2486 | 2007-04-02 |
| 1871613778 | Edward V. Molyneaux IIi | Dentist | 61 S Main St, Suite 311, West Hartford, CT 06107-2486 | 2007-04-02 |
| 1649397068 | Allan Michael Jacobs | Psychiatry & Neurology | 61 S Main St, Suite 305, West Hartford, CT 06107-2486 | 2007-03-22 |
| 1710030846 | Marilyn Nona Isaacson | Social Worker | 61 S Main St, Suite 209, West Hartford, CT 06107-2486 | 2007-01-20 |
| 1013023050 | Associates In Periodontics, PC | Dentist | 61 S Main St, Suite 301, West Hartford, CT 06107-2486 | 2006-08-22 |
| 1568481877 | Robert Bennett Nathanson | Dermatology | 61 S Main St, Suite 309, West Hartford, CT 06107-2486 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045675 | Sejal Thacker | Dentist | 82 Spring Lane, West Hartford, CT 06107 | 2009-07-04 |
| 1366551038 | Edward Herbert Karl | Dentist | 836 Farmington Av, West Hartford, CT 06119 | 2006-08-29 |
| 1497792071 | William Sidney Lavine | Dentist | 928 Farmington Ave, West Hartford, CT 06107-2227 | 2006-06-01 |
| 1033279658 | David A Gelb | Dentist | 836 Farmington Ave, Suite 131, West Hartford, CT 06119 | 2006-12-12 |
| 1831280247 | Karl I Gelb Dds PC | Dentist | 836 Farmington Ave, West Hartford, CT 06119 | 2006-09-28 |
| 1174631006 | Pamela A Moore | Dentist | 836 Farmington Ave, Suite 120, West Hartford, CT 06119-1505 | 2006-08-29 |
| 1013023050 | Associates In Periodontics, PC | Dentist | 61 S Main St, Suite 301, West Hartford, CT 06107-2486 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384966 | Connecticut Periodontal & Implant Associates | Dentist | 1080 Day Hill Rd Ste 101, Windsor, CT 06095-1781 | 2020-07-23 |
| 1790212348 | Vidushi Gupta | Dentist | 546 S Broad St Ste 2d, Meriden, CT 06450-6601 | 2017-05-15 |
| 1184057192 | Hamden Family Dental Center | Dentist | 4193 Whitney Ave, Hamden, CT 06518-1212 | 2013-08-13 |
| 1649618901 | Avon Center Dentistry | Dentist | 19 Ensign Drive, Avon, CT 06001 | 2013-06-10 |
| 1487900528 | Amazing Smiles LLC | Dentist | 148 East Ave Ste 1b, Norwalk, CT 06851-5727 | 2012-07-26 |
| 1851614002 | Patricia I Diaz-moreno | Dentist | 263 Farmington Ave # Mc2820, Farmington, CT 06030-2820 | 2010-03-02 |
| 1013144039 | Stella L. Laskowski | Dentist | 74 Palomba Drive, Enfield, CT 06082 | 2009-06-17 |
| 1407019557 | Nicole Ann Marquis | Dentist | 51 Boston Post Rd, Suite 10, Madison, CT 06443-2155 | 2008-07-09 |
| 1851562466 | Arthur Fred Dean | Dentist | 489 Route 184, Suite 201, Groton, CT 06340-6227 | 2008-03-23 |
| 1811171150 | Lawrence Delibero | Dentist | 17 1/2 Elm St, New Canaan, CT 06840-5502 | 2007-12-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.