Provider Demographics
NPI:1376424556
Name:PEARL WHITE FAMILY DENTISTRY, P.A.
Entity type:Organization
Organization Name:PEARL WHITE FAMILY DENTISTRY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:DAASHOUSH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:646-258-9390
Mailing Address - Street 1:6361 N ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-2145
Mailing Address - Country:US
Mailing Address - Phone:954-491-8812
Mailing Address - Fax:
Practice Address - Street 1:6361 N ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-2145
Practice Address - Country:US
Practice Address - Phone:954-491-8812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty