Active NPIIndividual provider

Dr. Gustavo Perdomo, DMD

Dentist, Prosthodontics in Westwood, Massachusetts

NPI Number1710153663
Practice location
46 Arcadia RD, Westwood, MA 02090-3202
Fax
—
Last updated
March 31, 2020

Gustavo Perdomo is a Dentist, Prosthodontics based in Westwood, MA. Gustavo Perdomo practices in Westwood, MA and has the professional credentials of DMD. The NPI Number for Gustavo Perdomo is 1710153663 and holds a License No. 21628 (MA). The current practice location address for Gustavo Perdomo is 46 Arcadia RD, Westwood, MA 02090-3202 and can be reached out via phone at 617-966-9159.

Provider Profile Details

NPI Number
1710153663
Provider Name
Gustavo Perdomo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
46 Arcadia RD, Westwood, MA 02090-3202
Phone Number
617-966-9159
Primary Taxonomy
Dentist, Prosthodontics · 1223P0700X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2008
Last Update Date
March 31, 2020
Certification Date
March 31, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Arcadia RD
Westwood, MA 02090-3202
Zip
02090-3202
Phone Number
617-966-9159
Westwood, MA 02090Get directions →

Provider Business Mailing Address Details

Address
46 Arcadia RD
Westwood, MA 02090-3202
City
Westwood
State
MA
Zip
02090-3202
Phone Number
617-966-9159

License Information

License Number
21628
License State
MA
Taxonomy
Dentist, Prosthodontics · 1223P0700X · 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 Dr. Gustavo Perdomo, DMD?

The NPI number of Dr. Gustavo Perdomo, DMD is 1710153663. It was assigned on May 1, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Gustavo Perdomo, DMD?

Dr. Gustavo Perdomo, DMD is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X), licensed in MA under license number 21628.

Where does Dr. Gustavo Perdomo, DMD practice?

The practice location is 46 Arcadia RD, Westwood, MA 02090-3202. The office can be reached at 617-966-9159 (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 1710153663 directly on the NPPES registry website.

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