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DR. TYSON PERRERO DMD
NPI 1861629941
Dentist - General Practice in Louisville, KY

Active since June 16, 2009
2105 WEBER AVE, LOUISVILLE, KY 40205(502) 473-2011(502) 473-2013 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tyson Perrero Dmd NPPES

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

DR. TYSON PERRERO DMD (NPI 1861629941) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (9054) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1861629941
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TYSON PERREROCredential: DMD
Location Address2105 WEBER AVELouisville, KY 40205-2110
Mailing Address2105 Weber AveLouisville, KY 40205-2110 · (502) 473-2011 · Fax (502) 473-2013
Phone(502) 473-2011
Fax(502) 473-2013
Sole ProprietorYes
Enumeration DateJune 16, 2009
Last NPPES UpdateAugust 9, 2012
✔ NPI 1861629941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 9054
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 9054 (KY)
2105 WEBER AVE, Louisville, KY 40205
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Other Identifiers 1

Medicaid7100178410KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

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

MORTENSON FAMILY DENTAL CENTER-HIGHLANDS PLLC
Clinic/Center (Dental)
2105 WEBER AVE
LOUISVILLE, KY 40205
Jefferson County (502) 473-2011

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 Tyson Perrero's NPI number?

The NPI number for Tyson Perrero is 1861629941. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Tyson Perrero located?

Tyson Perrero practices at 2105 Weber Ave, Louisville, KY 40205. The listed phone number is (502) 473-2011.

What is Tyson Perrero's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Tyson Perrero accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Delta Dental PPO and 10 other insurers list Tyson Perrero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyson Perrero was last updated on August 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.