Provider Demographics
NPI:1992786263
Name:PEARLMAN, ISAAC (DDS)
Entity type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:PEARLMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41B W MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-5756
Mailing Address - Country:US
Mailing Address - Phone:516-872-2168
Mailing Address - Fax:516-872-2169
Practice Address - Street 1:41B W MERRICK RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5756
Practice Address - Country:US
Practice Address - Phone:516-872-2168
Practice Address - Fax:516-872-2169
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0506091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice