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Ethan Perellis, DMD
NPI 1629642079 · on the registry since 2021 · sole proprietor
Practice
- Address
- 9451 Westport Rd Ste 109
Louisville, KY 40241 - Phone
- (502) 412-5900
- Organisation at this address
- Sn Kentuckiana Rehab, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky