Pearly Place Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PEARLY PLACE DENTAL PLLC

Practice address

43 East Montauk Highway
Lindenhurst, NY 11757

Phone

(631) 226-1900

NPI assigned

Apr 24, 2023

Last updated

Apr 24, 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

Anudeep Grewal, DMDNPI 1003469685

Title

Owner

Phone

(631) 226-1900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Anudeep Kaur Grewal, DMD

  • General Practice Dentistry
  • Havertown, PA
  • NPI 1003469685
  NPD Authorized official
• Steven Fred Spector, D.D.S.

  • General Practice Dentistry
  • Lindenhurst, NY
  • NPI 1154303006
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1548957137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 EAST MONTAUK HIGHWAY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "11757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 EAST MONTAUK HIGHWAY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "11757",
            "telephone_number": "631-226-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLY PLACE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "ANUDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-226-1900",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Patel, FNP
• Anil S Patil, M.D.
• Penelope M Patsis, PHD.
• Paul R Cosenza OD PC (Lindy EyeCare)
• Peaceful Mind Nurse Practitioner in Psychiatry PC (SAKINA'S T.E.A. House)
• Nicole Peckham, MSPT
• Jessica Lyn Pedersen, B.S., L.M.T.
• Pediatric Immediate Care,PLLC
• Pediatric Urgent Care
• Leigha Marie Peluso, PA

• General Practice Dentistry in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.