Pearl Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PEARL DENTAL PLLC

Practice address

15030 N Tatum Blvd Ste 115
Phoenix, AZ 85032-4807

Phone

(602) 790-9923

NPI assigned

Nov 16, 2023

Last updated

Dec 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dena Myers, DMD

Title

Owner

Phone

(602) 899-6950

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dena M Khoury, D.M.D.

  • Dentist
  • Avondale, AZ
  • NPI 1972881308

  General Practice

  NPD

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1225803547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15030 N TATUM BLVD STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324807",
            "telephone_number": "602-790-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 N TATUM BLVD STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324807",
            "telephone_number": "602-790-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-899-6950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES MYERS",
            "identifier": "1245518679",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peak Wellness Institute
• Loretta R Peak, RNC,WHNP
• Jason Pearce
• Linda M. Pearce, LMT
• Scott Bradley Pearce, DO
• Pearl Legacy Home Healthcare Services LLC
• Pearl Wellness LLC
• Carter Alexander Pearl, PSYD
• Jeffrey M Pearl, M.D.
• Thea Davies Pearl, MD

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.