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Search › Kentucky › 1223G0001X

Tyson Perrero, DMD

NPI 1861629941 · on the registry since 2009 · sole proprietor

Practice

Address
2105 Weber Ave
Louisville, KY 40205
Phone
(502) 473-2011
Fax
(502) 473-2013
Organisation at this address
Mortenson Family Dental Center-Highlands Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-09

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