Perla Dental of Burleson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21330 Issued in TX

Legal business name

PERLA DENTAL OF BURLESON

Practice address

1055 SW Wilshire Blvd
Suite 101
Burleson, TX 76028-8727

Phone

(682) 472-8473

NPI assigned

Jan 27, 2012

Last updated

Jan 27, 2012By 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

Jayesha Hussain, DDS

Title

Owner

Phone

(469) 387-3332

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1558633214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 SW WILSHIRE BLVD",
            "address_2": "SUITE 101",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288727",
            "telephone_number": "682-472-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SW WILSHIRE BLVD",
            "address_2": "SUITE 101",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288727",
            "telephone_number": "682-472-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLA DENTAL OF BURLESON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "JAYESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-387-3332",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talin Minter Pepper, PT
• Lynne Marie Percival, LPC, LCDC, MS
• Andrea Perez
• Jessica Perez, FNP-C
• Perfectly Imperfect LLC
• Cody Perritt, DDS
• William M Perryman, MD
• Peter Green MD PA
• Christopher Petr, MD
• Sarah E Petry, PT, DPT, ATC, LAT

• General Practice Dentistry in Burleson, TX
• Providers in Burleson, 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 Jan 27, 2012; 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.