# DR. JEFFREY T PEARSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1013272624
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D008428 | AZ | — |
| 1223G0001X | General Practice Dentistry | 7370 | NV | Yes |

## Other

- **Enumeration date:** 07/10/2012
- **Last updated:** 01/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1134345937 | — | AZ |
| 05 | — | 670703 | — | AZ |