# PEARL DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225803547
- **Authorized official:** DR. DENA MYERS DMD (OWNER)
- **Authorized official phone:** (602) 899-6950

## Contact information

- **Practice address:** 15030 N TATUM BLVD STE 115, PHOENIX, AZ 85032-4807
- **Practice address phone:** (602) 790-9923
- **Mailing address:** 15030 N TATUM BLVD STE 115, PHOENIX, AZ 85032-4807
- **Mailing address phone:** (602) 790-9923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2023
- **Last updated:** 12/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1245518679 | JAMES MYERS | AZ |