Provider Demographics
NPI:1801684360
Name:PEARLAND DENTAL CARE LLC
Entity type:Organization
Organization Name:PEARLAND DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:EMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-830-6881
Mailing Address - Street 1:1921 N MAIN ST STE 115
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-3365
Mailing Address - Country:US
Mailing Address - Phone:803-830-6881
Mailing Address - Fax:
Practice Address - Street 1:1921 N MAIN ST STE 115
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-3365
Practice Address - Country:US
Practice Address - Phone:803-830-6881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty