Healthcare Provider Details

I. General information

NPI: 1710897129
Provider Name (Legal Business Name): PEARL GREENWICH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 GLENVILLE RD STE 2
GREENWICH CT
06831-4162
US

IV. Provider business mailing address

235 GLENVILLE RD STE 2
GREENWICH CT
06831-4162
US

V. Phone/Fax

Practice location:
  • Phone: 203-531-5595
  • Fax:
Mailing address:
  • Phone: 203-531-5595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. CHEN SHI
Title or Position: OWNER
Credential: DDS,MS
Phone: 203-609-1846