Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PEARL DENTAL PLLC
Active
Organization
PEARL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVIA NDOUTOUME DDS (OWNER/DENTIST)
(903) 273-8008
Entity
Organization
Contact information
Practice address
702 W MAIN ST, STE B, HALLSVILLE, TX 75650
(903) 273-8008
(903) 213-7440
Mailing address
702 W MAIN ST, STE B, HALLSVILLE, TX 75650
(903) 273-8008
(903) 213-7440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32576
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
05/03/2022
Last updated
05/03/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up