Provider Demographics
NPI:1902616915
Name:PEARL DENTISTRY OF BRIDGEVILLE, PLLC
Entity type:Organization
Organization Name:PEARL DENTISTRY OF BRIDGEVILLE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-612-2729
Mailing Address - Street 1:121 LYNDHURST CIR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8870
Mailing Address - Country:US
Mailing Address - Phone:724-612-2729
Mailing Address - Fax:
Practice Address - Street 1:212 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2344
Practice Address - Country:US
Practice Address - Phone:412-221-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental