| Pearson Dental Services, Plc | |
| 
					4244 N 19th Ave Phoenix AZ 85015-5108  | |
| (602) 574-2696 | |
| Not Available | 
| Full Name | Pearson Dental Services, Plc | 
|---|---|
| Speciality | Dentist | 
| Location | 4244 N 19th Ave, Phoenix, Arizona | 
| Authorized Official Name and Position | Jerry Pearson (MANAGER) | 
| Authorized Official Contact | 6025742696 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pearson Dental Services, Plc 1605 E Gold Dust Ave Phoenix AZ 85020-1934 Ph: () -  | Pearson Dental Services, Plc 4244 N 19th Ave Phoenix AZ 85015-5108 Ph: (602) 574-2696  | 
| NPI Number | 1174901789 | 
|---|---|
| Provider Enumeration Date | 05/14/2015 | 
| Last Update Date | 05/14/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174901789 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | D5104 (Arizona) | Primary | 
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