Provider Demographics
NPI:1497829691
Name:PERPER, MICHAEL STEPHEN (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:STEPHEN
Last Name:PERPER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-3415
Mailing Address - Country:US
Mailing Address - Phone:847-541-5437
Mailing Address - Fax:847-541-8151
Practice Address - Street 1:400 W DUNDEE RD
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-3415
Practice Address - Country:US
Practice Address - Phone:847-541-5437
Practice Address - Fax:847-541-8151
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19A14381122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist