Provider Demographics
NPI:1831989912
Name:PEARLS DENTISTRY LLC
Entity type:Organization
Organization Name:PEARLS DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RAVNEET
Authorized Official - Middle Name:K
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:864-613-0001
Mailing Address - Street 1:3888 SOFT WIND TER
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-8923
Mailing Address - Country:US
Mailing Address - Phone:864-613-0000
Mailing Address - Fax:
Practice Address - Street 1:4850 GOLDEN PKWY STE E
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-5842
Practice Address - Country:US
Practice Address - Phone:864-613-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental