DR. PERRI SOFIAN PUTRASAHAN DDS NPI 1447302005

NPI Information

NPI: 1447302005
Provider Name: DR. PERRI SOFIAN PUTRASAHAN, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
68905 VISTA CHINO
CATHEDRAL CITY, CA
ZIP 92234
Phone: (760) 325-2503
Get Directions

DR. Perri Sofian Putrasahan, DDS is a general practice dentist in Cathedral City, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Perri Sofian Putrasahan, DDS NPI is 1447302005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

68905 VISTA CHINO
CATHEDRAL CITY, CA
ZIP 92234-866
Phone: (760) 325-2503
Fax: (760) 322-6425

The enumeration date for this NPI number is 1/16/2007 and was last updated on 12/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	39466	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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