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ALLEN I PEARSON DDS PA NPI 1184737579


NPI Information

NPI: 1184737579
Provider Name: ALLEN I PEARSON DDS PA

Doing Business As: CHILDRENS DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
520 W BROWN ST
#B
WYLIE, TX
ZIP 75098
Phone: (972) 429-7070
Get Directions

ALLEN I PEARSON DDS PA is a pediatric dentistry dentist in Wylie, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ALLEN I PEARSON DDS PA NPI is 1184737579. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Childrens Dentistry.

The provider's business location address is:

520 W BROWN ST
#B
WYLIE, TX
ZIP 75098
Phone: (972) 429-7070
Fax: (972) 429-7071

The provider's authorized official is Allen I Pearson .
The authorized official title is Owner and has the following contact phone number (972) 429-7070.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 12/26/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry21036TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11554016-03MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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