Individual
DR. DAVID R PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30 W GENESEE ST, BALDWINSVILLE, NY 13027-1126
(315) 635-3671
(315) 635-6482
Mailing address
30 W GENESEE ST, BALDWINSVILLE, NY 13027-1126
(315) 635-3671
(315) 635-6482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044259
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NY STATE LICENSE #
044259
NY
Enumeration date
10/04/2006
Last updated
07/08/2007
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