Pearl Smile PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

0401413178 Issued in VA

Legal business name

PEARL SMILE PLLC

Practice address

8600 Quioccasin Rd Ste 205
Henrico, VA 23229-5514

Phone

(804) 740-0646

Fax

(804) 740-0646

NPI assigned

Jul 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sedina Rahmanovic

Title

Office Manager

Phone

(804) 740-0646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1982010633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 QUIOCCASIN RD STE 205",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232295514",
            "telephone_number": "804-740-0646",
            "fax_number": "804-740-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 QUIOCCASIN RD STE 205",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232295514",
            "telephone_number": "804-740-0646",
            "fax_number": "804-740-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL SMILE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "RAHMANOVIC",
        "authorized_official_first_name": "SEDINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-740-0646"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Henrico, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.