Pearl Dental of Stamford, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009837 Issued in CT

Legal business name

PEARL DENTAL OF STAMFORD, PC

Practice address

1055 Summer St
Suite 3
Stamford, CT 06905-5527

Phone

(203) 325-2102

Fax

(203) 325-1153

NPI assigned

Sep 4, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kaveeta Channamsetty, D.D.S.

Title

Owner

Phone

(203) 325-2102

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1033510474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 SUMMER ST",
            "address_2": "SUITE 3",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055527",
            "telephone_number": "203-325-2102",
            "fax_number": "203-325-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SUMMER ST",
            "address_2": "SUITE 3",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055527",
            "telephone_number": "203-325-2102",
            "fax_number": "203-325-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTAL OF STAMFORD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "CHANNAMSETTY",
        "authorized_official_first_name": "KAVEETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-325-2102",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Brent Pawlecki, M.D.
• Andrea Payo
• Grisell Viviana Paz, D.C
• Judith Pazmino, LPC
• Peace of Mind Psychological Services, LLC
• Lisa Melnik Pearson, PA-C
• Brooke Peck, PT
• Pediatric Practice Associates, P.C.
• Ashley Nicole Pekera, PA-C
• Mary Elizabeth Peluso, MS

• General Practice Dentistry in Stamford, CT
• Providers in Stamford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.