Perla Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21330 Issued in TX

Legal business name

PERLA DENTAL PA

Practice address

817 W Pioneer Pkwy
Ste.150
Grand Prairie, TX 75051-4710

Phone

(972) 602-2000

Fax

(972) 602-2062

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Jayesha Hussain, DDS

Title

Owner

Phone

(972) 602-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386868313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W PIONEER PKWY",
            "address_2": "STE.150",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514710",
            "telephone_number": "972-602-2000",
            "fax_number": "972-602-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W PIONEER PKWY",
            "address_2": "STE.150",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514710",
            "telephone_number": "972-602-2000",
            "fax_number": "972-602-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLA DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "JAYESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-602-2000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Manuel Perez, MD
• Christian Perez, PHARMD
• Juan R Perez, LPC
• Perfection Hospice Care Incorporated
• Perfection Housecalls of Texas LLC
• Perla Orthodontics PC
• Casey Renee Perry-Sabti, LCSW
• Mahalia Perry, BCBA
• James David Peters, D.O.
• Patrice Leeann Pezzullo, RN

• General Practice Dentistry in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.