Bonnie Jean Pearson in Petersburg - General Practice
Bonnie Jean Pearson - NPI 1124021027
Bonnie Jean Pearson is a General Practice in Petersburg, Virginia. Bonnie Jean Pearson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bonnie Jean Pearson is 1124021027. The last update date is 2007-07-08.
Bonnie Jean Pearson's current location address is 10545 S Crater Rd, Petersburg, Virginia. You can contact this provider via phone number 8047328557 and fax number 8047326638. The mailing address for Bonnie Jean Pearson is 10545 S Crater Rd, Petersburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie Jean Pearson |
|---|---|
| Address | 10545 S Crater Rd, Petersburg, Virginia |
| Phone Number | 8047328557 |
| Fax Number | 8047326638 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124021027 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10545 S Crater Rd |
|---|---|
| City | Petersburg |
| State | Virginia (VA) |
| Post Code | 2380573330 |
| Phone Number | 8047328557 |
| Fax Number | 8047326638 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 401008757 |
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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. |
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What is the unique 10-digit identifier code assigned to Bonnie Jean Pearson by the Centers for Medicare & Medicaid Services?
The Bonnie Jean Pearson has been issued the NPI (National Provider Identifier) 1124021027 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Bonnie Jean Pearson's facilities are geographically located?
The facilities of Bonnie Jean Pearson are physically situated at the following location: 10545 S Crater Rd, Petersburg, VA, 2380573330.
What is the Bonnie Jean Pearson's specialty and taxonomy code?
The Bonnie Jean Pearson's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124021027 to Bonnie Jean Pearson?
The Bonnie Jean Pearson received its 1124021027 assignment from the Centers for Medicare & Medicaid Services on 2005-05-24.
When was the information regarding Bonnie Jean Pearson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bonnie Jean Pearson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.