person
Paul C Peracchio, DMD
Oral and Maxillofacial Surgery (Dentist) in Manchester, Connecticut
NPI 1316908569

Paul C Peracchio is a Oral and Maxillofacial Surgery (Dentist) based in Bolton, CT and is specialized in Oral and Maxillofacial Surgery. Paul C Peracchio practices in Manchester, CT and has the professional credentials of DMD. The NPI Number for Paul C Peracchio is 1316908569 and holds a License No. 7708 (Connecticut).

The current practice location address for Paul C Peracchio is 945 Main St, Manchester, CT and can be reached out via phone at 860-647-9926 and via fax at 860-645-7723. You can also correspond with Paul C Peracchio through the mailing address at 31 HANOVER FARMS RD, BOLTON, CT - 06043-7647 (mailing address contact number: 860-643-9229).

Location: 945 Main St, Manchester, CT, 06043-7647
person
Provider Profile Details
NPI Number
1316908569
Provider Name
Paul C Peracchio
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
945 Main St, Manchester, CT, 06043-7647
Phone Number
860-647-9926
Fax Number
860-645-7723
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P3603721 01 CT OXFORD
020007708CT01 01 CT ANTHEM BLUE CROSS
762391 01 CT CONNECTICARE
2V5967 01 CT HEALTHNET
institution
Provider Business Practice Location Address Details
Address
945 Main St
City
State
Zip
06040-6064
Phone Number
860-647-9926
Fax Number
860-645-7723
person
Provider Business Mailing Address Details
Address
31 Hanover Farms Rd
City
State
Zip
06043-7647
Phone Number
860-643-9229
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
7708 (Connecticut)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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