Pearl Dentistry Pc is a Dental in Caldwell, Idaho. Pearl Dentistry Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Pearl Dentistry Pc is 1154581056. The last update date is 2012-12-10.
Pearl Dentistry Pc's current location address is 4012 Brian Ave, Caldwell, Idaho. You can contact this provider via phone number 2084594312 and fax number 2084599059. The mailing address for Pearl Dentistry Pc is 4012 Brian Ave, Caldwell, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pearl Dentistry Pc |
|---|---|
| Address | 4012 Brian Ave, Caldwell, Idaho |
| Phone Number | 2084594312 |
| Fax Number | 2084599059 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lloyd Spencer |
| Credentials | D.M.D. |
| Telephone Number | 2084594312 |
NPI Number Detail
| NPI Number | 1154581056 |
|---|---|
| Provider Enumeration Date | 2008-06-13 |
| Last Updated Date | 2012-12-10 |
Provider Mailing Address Detail
| Address | 4012 Brian Ave |
|---|---|
| City | Caldwell |
| State | Idaho (ID) |
| Post Code | 836056305 |
| Phone Number | 2084594312 |
| Fax Number | 2084599059 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D3396 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Pearl Dentistry Pc?
The Pearl Dentistry Pc has been issued the NPI (National Provider Identifier) 1154581056 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Pearl Dentistry Pc located?
The Pearl Dentistry Pc is located at 4012 Brian Ave, Caldwell, ID 836056305.
What is Pearl Dentistry Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pearl Dentistry Pc's specialized field of practice is Dental, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd0000X.
When did Pearl Dentistry Pc receive its 1154581056 assignment?
The Pearl Dentistry Pc was assigned its 1154581056 on 2008-06-13, which is the date when this unique identifier was issued to the organization.
When was the Pearl Dentistry Pc's information last updated?
The Pearl Dentistry Pc's information was last updated on 2012-12-10.
NPI Number: 1396748448
Address: 100 Metropolitan Drive Associated Medical Professionals, Liverpool, NY
NPI Number: 1952304982
Address: 310 Lafayette Ave Se Ste 410, Grand Rapids, MI
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI