NPI 1306207113

Paul Perpich, DDS

Organisation Preferred Provider Organization Nisswa, MN

Practice location

Address: 5461 City Hall St, Nisswa, MN 56468-2478
Phone: (218) 546-5809
Mailing address: PO Box 464 338 Curtis Ave., Ironton, MN 56455

Authorised official

Name: Paul M Perpich
Title: Dentist/Owner
Phone: (218) 546-5809

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 9410 (MN)

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Registry record

NPI: 1306207113
Entity type: Organization
NPI issued: 8 Mar 2016
Record last updated: 8 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.