Jerry R Pearson in Phoenix - General Practice
Jerry R Pearson - NPI 1639192545
Jerry R Pearson is a General Practice in Phoenix, Arizona. Jerry R Pearson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry R Pearson is 1639192545. The last update date is 2007-07-08.
Jerry R Pearson's current location address is 8104 N. 110th Place, Phoenix, Arizona. You can contact this provider via phone number 6234349343 and fax number 6233216268. The mailing address for Jerry R Pearson is 8104 N. 110th Place, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerry R Pearson |
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Address | 8104 N. 110th Place, Phoenix, Arizona |
Phone Number | 6234349343 |
Fax Number | 6233216268 |
Sole Proprietor | Y |
Credentials | DMD |
NPI Number Detail
NPI Number | 1639192545 |
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Provider Enumeration Date | 2006-07-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 8104 N. 110th Place |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 85020 |
Phone Number | 6234349343 |
Fax Number | 6233216268 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | D5104 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
612938 | AZ | -- |
Post Comment/ Review Below
What is the Jerry R Pearson's unique identification number?
The Jerry R Pearson has been assigned the NPI (National Provider Identifier) Number 1639192545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jerry R Pearson located?
The Jerry R Pearson is located at 8104 N. 110Th Place, Phoenix, AZ 85020.
What is Jerry R Pearson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerry R Pearson is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Jerry R Pearson receive the assignment of its 1639192545 from the Centers for Medicare & Medicaid Services?
The Jerry R Pearson was issued its 1639192545 by the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the information regarding Jerry R Pearson most recently updated?
The details pertaining to the Jerry R Pearson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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