Kenneth Wayne Pierson in Tulare - Oral And Maxillofacial Surgery

Kenneth Wayne Pierson - NPI 1174546675

Kenneth Wayne Pierson is a Oral And Maxillofacial Surgery in Tulare, California. Kenneth Wayne Pierson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kenneth Wayne Pierson is 1174546675. The last update date is 2012-10-15.

Kenneth Wayne Pierson's current location address is 1979 Hillman St, Tulare, California. You can contact this provider via phone number 5597324279 and fax number 5596364455. The mailing address for Kenneth Wayne Pierson is 1979 Hillman St, Tulare, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Wayne Pierson
Address 1979 Hillman St, Tulare, California
Phone Number 5597324279
Fax Number 5596364455
Sole Proprietor Y
Credentials DDS, MPH

NPI Number Detail

NPI Number 1174546675
Provider Enumeration Date 2006-07-25
Last Updated Date 2012-10-15

Provider Mailing Address Detail

Address 1979 Hillman St
City Tulare
State California (CA)
Post Code 932741601
Phone Number 5597324279
Fax Number 5596364455

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No GA1045
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0000222015CA CA DELTA DENTAL OF CA
B22015-01 CA DENTI-CAL PROVIDER ID

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FAQs about Kenneth Wayne Pierson

What is the unique 10-digit identification code assigned to Kenneth Wayne Pierson by the Centers for Medicare & Medicaid Services?

The Kenneth Wayne Pierson has been issued the NPI (National Provider Identifier) 1174546675, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kenneth Wayne Pierson's physical address?

The Kenneth Wayne Pierson is physically located at 1979 Hillman St, in the city of Tulare, CA, with the postal code 932741601.

What is Kenneth Wayne Pierson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kenneth Wayne Pierson's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.

When did Kenneth Wayne Pierson receive its 1174546675 assignment?

The Kenneth Wayne Pierson was assigned its 1174546675 on 2006-07-25, which is the date when this unique identifier was issued to the organization.

When was the information related to Kenneth Wayne Pierson most recently updated or refreshed?

The details pertaining to the Kenneth Wayne Pierson, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-15.

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