Kenneth E Pearson Dds Pa in Little Rock - Endodontics

Kenneth E Pearson Dds Pa - NPI 1871610857

Kenneth E Pearson Dds Pa is a Endodontics in Little Rock, Arkansas. Kenneth E Pearson Dds Pa practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Kenneth E Pearson Dds Pa is 1871610857. The last update date is 2008-07-11.

Kenneth E Pearson Dds Pa's current location address is 12921 Cantrell Rd Suite 200, Little Rock, Arkansas. You can contact this provider via phone number 5012211200 and fax number 5012211326. The mailing address for Kenneth E Pearson Dds Pa is 12921 Cantrell Rd Suite 200, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kenneth E Pearson Dds Pa
Address 12921 Cantrell Rd Suite 200, Little Rock, Arkansas
Phone Number 5012211200
Fax Number 5012211326
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Hastings C Nancy
Telephone Number 5012211200

NPI Number Detail

NPI Number 1871610857
Provider Enumeration Date 2007-03-23
Last Updated Date 2008-07-11

Provider Mailing Address Detail

Address 12921 Cantrell Rd Suite 200
City Little Rock
State Arkansas (AR)
Post Code 72223
Phone Number 5012211200
Fax Number 5012211326

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No 2694
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
56311 BCBS
111380608 AR --
696033 UNITED CONCORDIA

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FAQs about Kenneth E Pearson Dds Pa

What is the unique 10-digit identification code assigned to Kenneth E Pearson Dds Pa by the Centers for Medicare & Medicaid Services?

The Kenneth E Pearson Dds Pa has been issued the NPI (National Provider Identifier) 1871610857, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kenneth E Pearson Dds Pa's facilities are geographically located?

The facilities of Kenneth E Pearson Dds Pa are physically situated at the following location: 12921 Cantrell Rd Suite 200, Little Rock, AR, 72223.

What is Kenneth E Pearson Dds Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kenneth E Pearson Dds Pa is Endodontics, and the taxonomy classification code that categorizes this area of expertise is 1223E0200X.

On what date did Kenneth E Pearson Dds Pa receive its 1871610857 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth E Pearson Dds Pa was assigned its 1871610857 on 2007-03-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kenneth E Pearson Dds Pa most recently updated?

The details pertaining to the Kenneth E Pearson Dds Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-07-11.

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