Dr Bertel Thorwaldsen Perry Iii, DMD is a
Dentist - General Practice based in Candor, New York. Dr Bertel Thorwaldsen Perry Iii is licensed to practice in New York (license number 038858) and his current practice location is
12 Main Street, Candor, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 659-4050.
NPI number for Dr Bertel Thorwaldsen Perry Iii is 1922098755 and his current mailing address is Po Box 71, Candor, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922098755.
Healthcare Provider's Profile
| Full Name | Dr Bertel Thorwaldsen Perry Iii |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 12 Main Street, Candor, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1922098755
- Provider Enumeration Date: 10/24/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Bertel Thorwaldsen Perry Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922098755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 038858 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bertel Thorwaldsen Perry Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bertel Thorwaldsen Perry Iii, DMD
Po Box 71,
Candor, NY 13743-0071
Ph: (607) 659-4050 | Dr Bertel Thorwaldsen Perry Iii, DMD
12 Main Street,
Candor, NY 13743-0071
Ph: (607) 659-4050 |
Reviews and Comments