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DR. ALEXANDRA PERICOLOSI DMD
NPI 1003478959
Dentist in Iron Mountain, MI

Active since July 01, 2019
325 E H ST, IRON MOUNTAIN, MI 49801(906) 774-3300 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2020, Jul 1, 2019 (2 updates tracked since 2019).

About Dr. Alexandra Pericolosi Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALEXANDRA PERICOLOSI DMD (NPI 1003478959) is an individual dentist in Iron Mountain, Michigan, licensed in Michigan (2951000663) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1003478959
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. ALEXANDRA PERICOLOSICredential: DMD
Location Address325 E H STIron Mountain, MI 49801-4760
Mailing Address325 E H StIron Mountain, MI 49801-4760 · (906) 774-3300
Phone(906) 774-3300
Sole ProprietorNo
Enumeration DateJuly 1, 2019
Last NPPES UpdateOctober 28, 20242 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
✔ NPI 1003478959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MI · 2951000663✔ Licensed in MI · 2901600567
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
325 E H ST, Iron Mountain, MI 49801
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE LYNN BOLANDER LMSW
Social Worker (Clinical)
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
SUSAN SCULLON
Registered Nurse (Home Health)
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
MRS. KELSEY MELLON
Registered Nurse
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
MOLLY STENFORS RN
Registered Nurse
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
DR. KIRK L SUSOTT M.D.
Urology
325 E H ST, OSCAR G. JOHNSON VA MEDICAL CENTER
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
MARY-BETH M LIMBACK MD
Surgery
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
MR. MICHAEL CRAIG NELSON RPH
Pharmacist
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
DR. NICHOLAS STUART RABOIN D.C.
Chiropractor
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Pericolosi's NPI number?

The NPI number for Alexandra Pericolosi is 1003478959. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Alexandra Pericolosi located?

Alexandra Pericolosi practices at 325 E H St, Iron Mountain, MI 49801. The listed phone number is (906) 774-3300.

What is Alexandra Pericolosi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Alexandra Pericolosi was last updated on October 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.