Healthcare Provider Details

I. General information

NPI: 1134057599
Provider Name (Legal Business Name): THE PEARL DENTISTRY OF OCALA, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 SW 20TH PL STE 202
OCALA FL
34471-7881
US

IV. Provider business mailing address

1920 SW 20TH PL STE 202
OCALA FL
34471-7881
US

V. Phone/Fax

Practice location:
  • Phone: 352-861-1500
  • Fax:
Mailing address:
  • Phone: 352-861-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE SNOW
Title or Position: OFFICE MANAGER
Credential:
Phone: 407-310-0074