Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pearly Whites Dental Office, Inc

Organization Dentist · NPI 1811009855

Pearly Whites Dental Office, Inc provides Dentist services in Rio Rancho, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4041 Barbara Loop SE Ste A
Rio Rancho, NM 87124-1065
Phone: (505) 891-1500
Fax: (505) 891-8400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DD1948 (NM)

Record details

NPI number1811009855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shirley Profazi — Owner · (505) 891-1500
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 15256, Rio Rancho, NM 87174-0256

Other providers in Rio Rancho