Perla Dental of Bridgeport PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PERLA DENTAL OF BRIDGEPORT PC

Practice address

4575 Main St
Suite 125
Bridgeport, CT 06606-1818

Phone

(469) 387-3332

NPI assigned

May 9, 2012

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

President

Phone

(469) 387-3332

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1730448978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LANTANA CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 MAIN ST",
            "address_2": "SUITE 125",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061818",
            "telephone_number": "469-387-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLA DENTAL OF BRIDGEPORT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "JAYESHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-387-3332",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Perez
• Patricia Carla Perez
• Raul Perez Jr., MD
• Stephanie Perez, MS
• Perfect Home Care LLC
• Lindsey Perriolat, LMSW
• Deja Nicole Perry
• Linda Person
• Akhila Arya Perumangote Vasudevan, MD
• Joseph Raymond Pesce, MD

• General Practice Dentistry in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.