Active NPIOrganization

Gustavo Perdomo, DMD, LLC

Dentist in Weymouth, Massachusetts

NPI Number1700052651
Practice location
330 Washington St, Weymouth, MA 02188-2932
Fax
—
Last updated
May 1, 2008

Gustavo Perdomo, DMD, LLC is a healthcare organization based in Weymouth, MA. Gustavo Perdomo, DMD, LLC practices in Weymouth, MA. The NPI Number for Gustavo Perdomo, DMD, LLC is 1700052651 and holds a License No. 21628 (MA). The current practice location address for Gustavo Perdomo, DMD, LLC is 330 Washington St, Weymouth, MA 02188-2932 and can be reached out via phone at 781-335-5300.

Provider Profile Details

NPI Number
1700052651
Provider Name
Gustavo Perdomo, DMD, LLC
Provider Entity Type
Organization
Address
330 Washington St, Weymouth, MA 02188-2932
Phone Number
781-335-5300
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Gustavo Perdomo, DMD · Dentist · 781-335-5300
Provider Enumeration Date
May 1, 2008
Last Update Date
May 1, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Washington St
Weymouth, MA 02188-2932
Zip
02188-2932
Phone Number
781-335-5300
Weymouth, MA 02188Get directions →

Provider Business Mailing Address Details

Address
330 Washington St
Weymouth, MA 02188-2932
City
Weymouth
State
MA
Zip
02188-2932
Phone Number
781-335-5300

License Information

License Number
21628
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gustavo Perdomo, DMD, LLC?

The NPI number of Gustavo Perdomo, DMD, LLC is 1700052651. It was assigned on May 1, 2008 and is currently active in the NPPES registry.

What is the specialty of Gustavo Perdomo, DMD, LLC?

Gustavo Perdomo, DMD, LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 21628.

Where does Gustavo Perdomo, DMD, LLC practice?

The practice location is 330 Washington St, Weymouth, MA 02188-2932. The office can be reached at 781-335-5300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700052651 directly on the NPPES registry website.

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