PEARL SHINE DENTAL (NPI# 1043627243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043627243 |
| Entity Type | Organization |
| Organization Name | PEARL SHINE DENTAL |
| Practice Address |
12220 Jones Rd Ste C Houston TX 77070-5266 |
| Practice Telephone | 2814777200 |
| Practice Fax Number | 2814777381 |
| Mailing Telephone | 2814777200 |
| Mailing Fax Number | 2814777381 |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2014-07-20 |
| Authorized Official Name | GITI OLFAT BAHAR (PRESIDENT) |
| Authorized Official Telephone | 2814777200 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
28045 | TX | Ambulatory Health Care Facilities |
| Street Address |
12220 JONES RD STE C |
| City | HOUSTON |
| State | TX |
| Zip Code | 77070-5266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760980312 | Charolia Sk Dental Pllc | Clinic/Center | 12220 Jones Rd Ste C, Houston, TX 77070-5266 | 2018-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962666 | Polyanna De La Garza Optometrist Pllc | Optometrist | 22438 Tomball Parkway, Houston, TX 77070 | 2020-04-28 |
| 1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
| 1942831268 | Rea May Roque Danao | Registered Nurse | 18220 Tx-249, Houston, TX 77070 | 2020-01-27 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1851944300 | Oculus Cypresswood, LLC | Optometrist | Hwy 249 & Cypresswood, Houston, TX 77070 | 2019-07-23 |
| 1740832310 | Oculus Cypresswood, LLC | Optometrist | Highway 249 & Cypresswood, Houston, TX 77070 | 2019-07-12 |
| 1750846176 | Karen Fletcher | Occupational Therapy Assistant | Silverado Vintage Preserve, 10120 Louette Rd, Houston, TX 77070 | 2019-02-11 |
| 1154803518 | Geraldine Santillan Villanueva | Physical Therapist | 13220 Breton Ridge St., Houston, TX 77070 | 2018-09-02 |
| 1467945865 | Pure G Kids, LLC | Clinic/Center | 21175 Tomball Pkwy Ste 379, Houston, TX 77070 | 2018-06-11 |
| 1063902518 | Stephanie Leona Bloodworth | Marriage & Family Therapist | 9950 Cypresswood Dr Ste 214, Houston, TX 77070 | 2018-05-10 |
| Find all providers in zip 77070 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237281 | Tbd, Pllc | Clinic/Center | 6363 San Felipe St Ste 200b, Houston, TX 77057-2704 | 2020-08-28 |
| 1770100984 | Tamaara Morris Dds Ms Pllc | Clinic/Center | 5802 Val Verde St Ste 170, Houston, TX 77057-5759 | 2020-07-03 |
| 1891311510 | Wallisville Braces, Pllc | Clinic/Center | 14570 Wallisville Rd Ste 1, Houston, TX 77049-4300 | 2020-06-18 |
| 1326660549 | Dental Clinics of Texas, Pllc | Clinic/Center | 17440 Fm 529 Rd Ste 100, Houston, TX 77095-1167 | 2020-05-11 |
| 1750913711 | Tanglewood Court | Clinic/Center | 5885 San Felipe St Ste 525, Houston, TX 77057-3434 | 2020-02-07 |
| 1730719345 | American Modern Dental | Clinic/Center | 5440 El Dorado Blvd Ste 1600, Houston, TX 77059-5001 | 2020-01-22 |
| 1427609981 | Ondon, Pllc | Clinic/Center | 10211 Cypresswood Dr, Houston, TX 77070-3407 | 2019-09-26 |
| 1205485794 | Gregory Palmer Dmd PC | Clinic/Center | 9113 Stella Link Rd Ste 1, Houston, TX 77025-3930 | 2019-09-06 |
| 1295383347 | M&m Smiles | Clinic/Center | 2522 Yale St Ste 210, Houston, TX 77008-2149 | 2019-09-02 |
| 1841845518 | Memorial City Smiles | Clinic/Center | 902 Frostwood Dr Ste 166, Houston, TX 77024-2449 | 2019-08-08 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.