| Dr. Kevin Pearson DDS | |
|
121 W Kagy Blvd Bozeman MT 59715-6000 | |
| (406) 587-7200 | |
| Not Available |
| Full Name | Dr. Kevin Pearson DDS |
|---|---|
| Speciality | Dentist |
| Location | 121 W Kagy Blvd, Bozeman, Montana |
| Authorized Official Name and Position | Tylie Blackburn (ASSITANT) |
| Authorized Official Contact | 4065877200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kevin Pearson DDS 121 W Kagy Blvd Bozeman MT 59715-6000 Ph: (406) 587-7200 | Dr. Kevin Pearson DDS 121 W Kagy Blvd Bozeman MT 59715-6000 Ph: (406) 587-7200 |
| NPI Number | 1245926575 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245926575 | NPI | - | NPPES |
| 1891413167 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
| 261QD0000X | Clinic/center - Dental | (NU) | Secondary |
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