Pearly White Dental, Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PEARLY WHITE DENTAL, INC.

Practice address

17180 Royal Palm Blvd Ste 4
Weston, FL 33326-2394

Phone

(954) 787-6453

NPI assigned

Jun 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Meyleen Izquierdo, DMDNPI 1437462140

Title

Owner Dentist

Phone

(954) 787-6453

Specialties & licenses 1

Addresses

Practitioners 1

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

• Meyleen Izquierdo, D.M.D

  • Periodontics
  • Coral Gables, FL
  • NPI 1437462140
  NPD Authorized official

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1720710072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17180 ROYAL PALM BLVD STE 4",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262394",
            "telephone_number": "954-787-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17180 ROYAL PALM BLVD STE 4",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262394",
            "telephone_number": "954-787-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLY WHITE DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "MEYLEEN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "954-787-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Patron, PHD, LMHC
• Denise Elizabeth Pattison, FNP-C
• Paula-Ann M. Francis, MD, PA
• Karem Valentina Pazo
• Peace of Mind Jax
• Pediatric Health of Weston, PA
• Pediatric Hospital Services of Southwest Florida
• Pediatric Physical Therapy on the Move, PA
• Pediatric Psychsolutions, P.a.
• Pediatrix Medical Group of Florida Inc

• Periodontics in Weston, FL
• Providers in Weston, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.