Individual
EMILY PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
730 GOODMAN RD E # A, SOUTHAVEN, MS 38671-9530
(662) 349-2351
Mailing address
2172 LAUGHTER RD N, NESBIT, MS 38651-8904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
112796
MS
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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