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PEARLY WHITES DENTAL OFFICE, INC.
NPI 1811009855
Dentist in Rio Rancho, NM

Active since August 31, 2006
4041 BARBARA LOOP SE, SUITE A, RIO RANCHO, NM 87124(505) 891-1500(505) 891-8400 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pearly Whites Dental Office, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEARLY WHITES DENTAL OFFICE, INC. (NPI 1811009855) is a healthcare organization registered as a dentist in Rio Rancho, New Mexico and active in the NPI registry since August 2006. The organization lists Shirley Ann Profazi, Owner, as its authorized official.

NPPES Registry Identity

NPI1811009855
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePEARLY WHITES DENTAL OFFICE, INC.
Location Address4041 BARBARA LOOP SE, SUITE ARio Rancho, NM 87124-1065
Mailing AddressPo Box 15256Rio Rancho, NM 87174-0256 · (505) 891-1500 · Fax (505) 891-8400
Phone(505) 891-1500
Fax(505) 891-8400
Organization SubpartNo
Authorized OfficialShirley Ann ProfaziOwner · (505) 891-1500
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811009855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · DD1948
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4041 BARBARA LOOP SE, Rio Rancho, NM 87124
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RED PHOENIX ACUPUNCTURE LLC
Acupuncturist
4041 BARBARA LOOP SE, SUITE A
RIO RANCHO, NM 87124
Sandoval County (505) 896-6965
DR. DENNIS WILBERT BERGMAN D.M.D.
Dentist
4041 BARBARA LOOP SE, SUITE A
RIO RANCHO, NM 87124
Sandoval County (505) 891-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pearly Whites Dental Office, Inc.'s NPI number?

The NPI number for Pearly Whites Dental Office, Inc. is 1811009855. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Pearly Whites Dental Office, Inc. located?

Pearly Whites Dental Office, Inc. is located at 4041 Barbara Loop SE Suite A, Rio Rancho, NM 87124. The listed phone number is (505) 891-1500.

What is Pearly Whites Dental Office, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Pearly Whites Dental Office, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.