Pearl Pediatric Dentistry and Orthodontics

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEARL PEDIATRIC DENTISTRY AND ORTHODONTICS

Practice address

820 North Mt. Juliet Road Suite100
Mt. Juliet, TN 37122

Phone

(615) 667-9232

NPI assigned

Aug 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Blerta SeldenNPI 1609266097

Title

President

Phone

(727) 278-1215

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blerta Abdi Selden, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • White House, TN
  • NPI 1609266097
  NPD Authorized official

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1093442444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014A GALE LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042914",
            "telephone_number": "727-278-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 NORTH MT. JULIET ROAD SUITE100",
            "city": "MT. JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-667-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL PEDIATRIC DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "SELDEN",
        "authorized_official_first_name": "BLERTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-278-1215",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tavianna M Patterson, LCSW
• Keianna Patton
• Jason Pawlik
• Mackenzie Payne
• Sandra Payne, LPC
• Mary Helen Peden, CCC-SLP
• Camille Vivian Pedone
• Janet C Pelmore, MD
• Jaimie Pelot, FNP-BC
• Pendergrass Chiropractic, LLC

• Pediatric Dentistry in Mt. Juliet, TN
• Providers in Mt. Juliet, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.