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Contact Information

KENNETH E PEARSON DDS PA
12921 CANTRELL RD SUITE 200
LITTLE ROCK, AR72223
 Phone: 501-221-1200
 Fax: 501-221-1326
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for KENNETH E PEARSON DDS PA

NPI # 1871610857
LBN Legal business name KENNETH E PEARSON DDS PA
Authorized official NANCY HASTINGS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2007
Last updated 07/11/2008 - About 18 years ago
Identifiers
AR License # 2694
AR Medicaid 111380608
Other 56311 BCBS
Other 696033 UNITED CONCORDIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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