Pearl Shine Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

28045 Issued in TX

Legal business name

PEARL SHINE DENTAL

Practice address

12220 Jones Rd Ste C
Houston, TX 77070-5266

Phone

(281) 477-7200

Fax

(281) 477-7381

NPI assigned

Jul 20, 2014

Organization subpart

No

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

Authorized official

Name

Giti Olfat Bahar, DDS

Title

President

Phone

(281) 477-7200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405814400000",
    "number": "1043627243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 JONES RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705266",
            "telephone_number": "281-477-7200",
            "fax_number": "281-477-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 JONES RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705266",
            "telephone_number": "281-477-7200",
            "fax_number": "281-477-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL SHINE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-20",
        "last_updated": "2014-07-20",
        "status": "A",
        "authorized_official_last_name": "BAHAR",
        "authorized_official_first_name": "GITI",
        "authorized_official_middle_name": "OLFAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-477-7200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "28045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Dermatology PLLC
• Pearl Healthcare, LLC
• Pearl Lilly Home Care, LLC
• Pearl Medical Supply LLC
• Pearl Pediatric Therapy, LLC.
• Pearl Smile Center PLLC
• Craig B Pearl, BDS
• Pearland and Beltway 8 Urgent Care Clinic LLC
• Pearland Anesthesia PLLC
• Pearland Endocrinology and Psychiatry Center, LLC

• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.