Individual
ERIC ROLAND PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
804 KENYON RD, STE 120, FORT DODGE, IA 50501-5742
(515) 576-8727
(515) 576-7076
Mailing address
804 KENYON RD, STE 120, FORT DODGE, IA 50501-5742
(515) 576-8727
(515) 576-7076
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
07327
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1095471
—
IA
Enumeration date
10/24/2005
Last updated
10/04/2007
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