Pearly Smiles, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PEARLY SMILES, PLLC

Practice address

5004 Columbia Ave Ste 101
Dallas, TX 75214-5542

Phone

(972) 546-0450

Fax

(972) 546-0451

NPI assigned

Dec 7, 2018

Last updated

Dec 17, 2019By 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. Sharon M Garza

Title

Credentialing Manager

Phone

(469) 706-7057

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1952872574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 COLUMBIA AVE STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752145542",
            "telephone_number": "708-522-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 COLUMBIA AVE STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752145542",
            "telephone_number": "972-546-0450",
            "fax_number": "972-546-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLY SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "469-706-7057",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearle Vision Inc (Pearle Vision #C6372)
• Margaret Sue Pearle, MD PHD
• Eric B Pearlman, MD
• Pearls Tender Care Inc
• Pearly Smiles Dallas PLLC (Pearly Smiles)
• Emma Elisabeth Pearse
• Lee Ann Pearse, M.D.
• Alesia Pearson
• Daniel B. Pearson III, M.D.
• Dianne Henderson Pearson, CRNA

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, 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 Dec 17, 2019; 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.