Healthcare Provider Details

I. General information

NPI: 1023869641
Provider Name (Legal Business Name): DAVID JAMES PERETTI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 LOWELL RD UNIT 3
WINDHAM NH
03087-1858
US

IV. Provider business mailing address

11 WOODBRIDGE RD
NORTH ANDOVER MA
01845-3928
US

V. Phone/Fax

Practice location:
  • Phone: 603-898-2072
  • Fax:
Mailing address:
  • Phone: 508-272-2211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number05359
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: