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General NPI Number Information
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NPI Number | 1831989912
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Entity Type | Organization
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Legal Business Name | PEARLS DENTISTRY LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 4850 GOLDEN PKWY STE E
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City | BUFORD
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State | GA
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Zip | 30518-5842
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Country | US
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Telephone | 470-780-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 3888 SOFT WIND TER
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City | BUFORD
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State | GA
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Zip | 30518-8923
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Country | US
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Telephone | 864-613-0000
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | RAVNEET K GILL
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Credential | DDS
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Telephone | 470-780-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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