Pearly Smile Dental Studio PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PEARLY SMILE DENTAL STUDIO PLLC

Practice address

48889 Hayes Rd
Shelby Township, MI 48315-4405

Phone

(586) 566-5220

NPI assigned

Feb 25, 2022

Last updated

Feb 25, 2022By 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

Maha Bishara

Title

Dentist

Phone

(586) 817-1810

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1851047120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42460 SILVERWOOD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142941",
            "telephone_number": "586-817-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48889 HAYES RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154405",
            "telephone_number": "586-566-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLY SMILE DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "BISHARA",
        "authorized_official_first_name": "MAHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-817-1810"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony James Paveglio, OD
• Katelyn Pawlowicz, OD
• Pcor, LLC
• Pear Tree Medical Clinic P.C.
• Pearle Vision Inc
• Pearsonfischer Enterprises, LTD (Foot Solutions of Shelby Township)
• Pediatric Motorwerks Physical Therapy, LLC
• Peds on the Go PLLC
• Jillian Marie Peklo, FNP-C
• Thomas Peldo, RPH

• Dental Clinic/Center in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.