Individual
MR. WILLIAM KEITH PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
40 N KINGSHIGHWAY BLVD APT 4L, SAINT LOUIS, MO 63108-1350
(314) 367-5820
(314) 367-6326
Mailing address
40 N KINGSHIGHWAY BLVD APT 4L, SAINT LOUIS, MO 63108-1350
(314) 367-5820
(314) 367-6326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014703
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402458855
—
MO
Enumeration date
08/09/2005
Last updated
09/29/2015
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