Pasadena Perfect Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25991 Issued in TX

Legal business name

PASADENA PERFECT DENTAL PLLC

Practice address

1501 Pasadena Blvd
Pasadena, TX 77502-2434

Phone

(713) 504-5538

NPI assigned

Aug 29, 2015

Last updated

Aug 29, 2015By 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

Mrs. Gohar Bernal, DMD

Title

Owner/Doctor

Phone

(832) 850-6270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440806400000",
    "number": "1861869422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19305 CABANGO DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653699",
            "telephone_number": "713-504-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PASADENA BLVD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775022434",
            "telephone_number": "713-504-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA PERFECT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-29",
        "last_updated": "2015-08-29",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "832-850-6270",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Pasadena, TX
• Providers in Pasadena, 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 Aug 29, 2015; 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.