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Contact Information

THOMAS PERVOLARAKIS, D.D.S.
3916 STONEGATE PARK UNIT A
SAINT JOSEPH, MI49085-9144
 Phone: 586-495-0122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for THOMAS PERVOLARAKIS · (Male)

NPI # 1073928099
Status Active
Credentials D.D.S. (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/27/2014
Last updated 05/26/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • MI License # 2901601560
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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