Healthcare Provider Details

I. General information

NPI: 1033109921
Provider Name (Legal Business Name): DAVID HENRY PERROTT MD, DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 PAJARO ST
SALINAS CA
93901-2929
US

IV. Provider business mailing address

1172 S MAIN ST 379
SALINAS CA
93901-2204
US

V. Phone/Fax

Practice location:
  • Phone: 831-757-3021
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License NumberA44373
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: