Organization
KEVIN S. PIERCE, D.D.S. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN S PIERCE D.D.S. (DENTIST)
(870) 268-8600
Entity
Organization
Contact information
Practice address
1724 EXECUTIVE SQ, JONESBORO, AR 72401-6092
(870) 268-8600
(870) 268-0044
Mailing address
1724 EXECUTIVE SQ, JONESBORO, AR 72401-6092
(870) 268-8600
(870) 268-0044
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
3398
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1397202
UNITED CONCORDIA
—
05
—
14824631
—
AR
01
—
2114424
BCBSTN
—
01
—
5-X034
ARBCBS
—
Enumeration date
10/25/2007
Last updated
10/25/2007
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