Provider Demographics
NPI:1881783058
Name:PEARLMAN, DARRYL (DDS)
Entity type:Individual
Prefix:
First Name:DARRYL
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 1:35 INDUSTRIAL DR
Mailing Address - Street 2:
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:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA007482122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist