Individual
DR. JEFFREY T PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7595 W WASHINGTON AVE STE 170, LAS VEGAS, NV 89128-4345
(702) 444-2494
(702) 505-4448
Mailing address
7595 W WASHINGTON AVE STE 170, LAS VEGAS, NV 89128-4345
(702) 444-2494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D008428
AZ
1223G0001X
General Practice Dentistry
Primary
7370
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134345937
—
AZ
05
—
670703
—
AZ
Enumeration date
07/10/2012
Last updated
01/25/2022
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