Provider Demographics
NPI:1154872851
Name:DARRYL PEARLMAN DDS PC
Entity type:Organization
Organization Name:DARRYL PEARLMAN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:PEARLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-967-5554
Mailing Address - Street 1:35 INDUSTRIAL DR
Mailing Address - Street 2:LOUISA
Mailing Address - City:LOUISA
Mailing Address - State:VA
Mailing Address - Zip Code:23093-4126
Mailing Address - Country:US
Mailing Address - Phone:540-967-5554
Mailing Address - Fax:540-967-5350
Practice Address - Street 1:35 INDUSTRIAL DR
Practice Address - Street 2:LOUISA
Practice Address - City:LOUISA
Practice Address - State:VA
Practice Address - Zip Code:23093-4126
Practice Address - Country:US
Practice Address - Phone:540-967-5554
Practice Address - Fax:540-967-5350
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VIGINIA DENTAL CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0074821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty