Perla Dental of Desoto

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PERLA DENTAL OF DESOTO

Practice address

1801 Lantana CT
Southlake, TX 76092-3571

Phone

(972) 223-3500

NPI assigned

Jun 5, 2009

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

(972) 223-3500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1790911691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W. BELTLINE RD",
            "address_2": "SUITE 114",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "972-223-3500",
            "fax_number": "972-223-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LANTANA CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923571",
            "telephone_number": "972-223-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLA DENTAL OF DESOTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "JAYESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-223-3500",
        "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": []
}

• Shahab Sean Peikari, BCBA
• Pelvic Lab
• Elaine Louise Penn
• Makenzie Perales, PT, DPT
• Daniel J. Perkins, DC
• Emily Ann Perry, MSN, APRN, AGNP-C
• Michelle Lynay Perry, O.D.
• J. Lee Pettigrew, D.D.S.
• PF Dover Counseling
• PF Dover Counseling

• General Practice Dentistry in Southlake, TX
• Providers in Southlake, 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 Jun 5, 2009; 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.