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Organization
MELVIN H PEARSON, DDS, PC
Active
Organization
MELVIN H PEARSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN HENRY PEARSON D.D.S. (ORTHODONTIST)
(718) 948-5100
Entity
Organization
Contact information
Practice address
3436 RICHMOND AVE, STATEN ISLAND, NY 10312-3227
(718) 948-5100
Mailing address
3436 RICHMOND AVE, STATEN ISLAND, NY 10312-3227
(718) 948-5100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02966241
—
NY
Enumeration date
12/09/2014
Last updated
11/27/2023
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