Provider Demographics
NPI:1154845659
Name:PERELLA, JOEIGH ANNE (DMD)
Entity type:Individual
Prefix:DR
First Name:JOEIGH
Middle Name:ANNE
Last Name:PERELLA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 W HIGH ST APT 301
Mailing Address - Street 2:
Mailing Address - City:GLASSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08028-2586
Mailing Address - Country:US
Mailing Address - Phone:856-305-6859
Mailing Address - Fax:
Practice Address - Street 1:102 WHITE HORSE RD W STE 101
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3610
Practice Address - Country:US
Practice Address - Phone:856-784-5061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0414781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice