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Contact Information

PEARL DENTAL PLLC
702 W MAIN ST
STE B
HALLSVILLE, TX75650
 Phone: 903-273-8008
 Fax: 903-213-7440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PEARL DENTAL PLLC

NPI # 1568107589
LBN Legal business name PEARL DENTAL PLLC
Authorized official OLIVIA NDOUTOUME - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2022
Last updated 05/03/2022 - About 4 years ago
Identifiers
TX Other 32576 TEXAS STATE BOARD OF DENTAL EXAMINERS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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