Organization
JAMES A PEARCE, DDS, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ALLEN PEARCE D.D.S. (OWNER)
(337) 269-0564
Entity
Organization
Contact information
Practice address
1221 COOLIDGE BLVD, LAFAYETTE, LA 70503-2620
(337) 269-0564
(337) 233-7801
Mailing address
1221 COOLIDGE BLVD, LAFAYETTE, LA 70503-2620
(337) 269-0564
(337) 233-7801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4099
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56524
PTAN
LA
Enumeration date
04/12/2011
Last updated
04/12/2011
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