Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Perico Back Bay, LLC

Organization Periodontics · NPI 1699105734

Perico Back Bay, LLC is a Periodontics in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2013.

Licensed in
MA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 Commonwealth Ave 3rd Flr
Boston, MA 02215
Phone: (617) 456-9714
Fax: (617) 266-9530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X (MA)

Record details

NPI number1699105734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Reiser — Managing Doctor · (617) 456-9714
NPI enumeratedNovember 26, 2013
Last updated in NPPESNovember 26, 2013
Mailing address400 Commonwealth Ave. 3rd Flr., Boston, MA 02215

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