Organization Active NPI

Pearl Dentures and Dental Care, PLLC

  • General Practice Dentistry
  • Granbury, TX
National Provider Identifier
1508645326
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEARL DENTURES AND DENTAL CARE, PLLC
Practice address
915 W. Pearl St.
Granbury, TX 76048
Phone
(817) 579-7297
Fax
(817) 579-9588
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Donna Denise Garrett-Smith
Title
Practice Administrator
Phone
(817) 579-7297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

915 W. Pearl St.
Granbury, TX 76048

Mailing address

915 W. Pearl St.
Granbury, TX 76048
Phone (817) 579-7297

National Provider Directory

National Provider Directory

Locations

915 W Pearl St
Granbury, TX 76048
Phone (817) 579-7297

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1508645326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W. PEARL ST.",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76048",
            "telephone_number": "817-579-7297",
            "fax_number": "817-579-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W. PEARL ST.",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76048",
            "telephone_number": "817-579-7297",
            "fax_number": "817-579-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTURES AND DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "GARRETT-SMITH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "817-579-7297"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

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