Organization Name: | ALLEN I PEARSON DDS PA |
NPI Number: | 1184737579 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLEN I PEARSON (OWNER) |
Mailing Address: | 520 W Brown St #b Wylie |
State: | TX US |
Postal Code: | 75098 |
Phone Number: | 9724297070 |
Fax Number: | 9724297071 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 12/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 21036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |