Samuel Thomas Pero IV, D.M.D.

Dentist · Lake Wales, FL

Individual Active NPI

NPI number 1255781209

Practice location

701 State Road 60 E
Lake Wales, FL 33853-4240
Phone
(863) 676-6021

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NPI record

NPI
1255781209
Entity type
Individual (Type 1)
Enumeration date
June 20, 2016
Last updated
June 20, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 21864 FL

About Dr. Pero

Samuel Thomas Pero IV, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 701 State Road 60 E, Lake Wales, FL 33853-4240. The NPI number 1255781209 was assigned on June 20, 2016 and the record was last updated on June 20, 2016.

Dr. Pero lists a license in the registry: #21864 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samuel Thomas Pero IV, D.M.D.?

The NPI number is 1255781209.

What is the phone number of Dr. Pero?

The phone number listed for the practice location is (863) 676-6021.

Where is Dr. Pero located?

701 State Road 60 E, Lake Wales, FL 33853-4240.

What is the taxonomy code for Dr. Pero?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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