Provider Demographics
NPI:1700085180
Name:PERRY M OPIN DDS PC
Entity type:Organization
Organization Name:PERRY M OPIN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:OPIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD MDSC
Authorized Official - Phone:203-877-3231
Mailing Address - Street 1:266 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3261
Mailing Address - Country:US
Mailing Address - Phone:203-877-3231
Mailing Address - Fax:203-878-5750
Practice Address - Street 1:266 BROAD ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3261
Practice Address - Country:US
Practice Address - Phone:203-877-3231
Practice Address - Fax:203-878-5750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty