Provider Demographics
NPI:1285634634
Name:PEARLMAN, JOEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:PEARLMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-1332
Mailing Address - Country:US
Mailing Address - Phone:508-543-7774
Mailing Address - Fax:508-543-7747
Practice Address - Street 1:113 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-1332
Practice Address - Country:US
Practice Address - Phone:508-543-7774
Practice Address - Fax:508-543-7747
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA126231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA477980OtherUNITED CONCORDIA INS
MAX11128OtherBLUE CROSS OF MA
MA38203OtherHARVARD PILGRIM HEALTHCAR