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
Address 8104 N. 110th Place, Phoenix, Arizona
Phone Number 6234349343
Fax Number 6233216268
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1639192545
Provider Enumeration Date 2006-07-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8104 N. 110th Place
City Phoenix
State Arizona (AZ)
Post Code 85020
Phone Number 6234349343
Fax Number 6233216268

Provider's Primary Taxonomy Detail

Speciality General Practice
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 --

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FAQs about Jerry R Pearson

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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