Pearl Dental Practice, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PEARL DENTAL PRACTICE, INC.

Practice address

11925 Pearl Rd
Suite 306
Strongsville, OH 44136-3353

Phone

(440) 238-2456

Fax

(440) 878-0932

NPI assigned

Aug 15, 2012

Last updated

Aug 15, 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

Dr. Paulo Jabboure

Title

Dentist

Phone

(440) 238-2456

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.

• Fida E Ezzie, DDS

  • General Practice Dentistry
  • Strongsville, OH
  • NPI 1548368863
  NPD (past)
• Jose PH Jabboure, DDS

  • General Practice Dentistry
  • Lorain, OH
  • NPI 1649378936
  NPD (past)

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1801143334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 PEARL RD",
            "address_2": "SUITE 306",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363353",
            "telephone_number": "440-238-2456",
            "fax_number": "440-878-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 PEARL RD",
            "address_2": "SUITE 306",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363353",
            "telephone_number": "440-238-2456",
            "fax_number": "440-878-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTAL PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "JABBOURE",
        "authorized_official_first_name": "PAULO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "440-238-2456",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Pavkov
• Robert Alan Pavlik Jr., B.A., BC-HIS
• Ross E Pavlik, HAS
• Laura Lynn Paynter, P.C.
• Pda Ortho Specialty (Lewis Orthodontics, Inc)
• Pearle Vision Inc
• Rachel M Pearson, PA-C
• Julie Ann Penter, LPN
• Jennifer Marie Perez, FNP-BC
• Perfect Vision LLC

• General Practice Dentistry in Strongsville, OH
• Providers in Strongsville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.