| Kenneth E Pearson Dds Pa | |
|
12921 Cantrell Rd Suite 200 Little Rock AR 72223 | |
| (501) 221-1200 | |
| (501) 221-1326 |
| Full Name | Kenneth E Pearson Dds Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 12921 Cantrell Rd Suite 200, Little Rock, Arkansas |
| Authorized Official Name and Position | Nancy C Hastings (OFFICE MANAGER) |
| Authorized Official Contact | 5012211200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth E Pearson Dds Pa 12921 Cantrell Rd Suite 200 Little Rock AR 72223 Ph: (501) 221-1200 | Kenneth E Pearson Dds Pa 12921 Cantrell Rd Suite 200 Little Rock AR 72223 Ph: (501) 221-1200 |
| NPI Number | 1871610857 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871610857 | NPI | - | NPPES |
| 56311 | Other | BCBS | |
| 111380608 | Medicaid | AR | |
| 696033 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2694 (Arkansas) | Primary |
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A M Nguyen Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9601 Baptist Health Dr Ste 950, Little Rock, AR 72205 Phone: 501-224-6333 | |
Asap Smile Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Office Park Dr, Little Rock, AR 72211 Phone: 501-225-2929 Fax: 501-228-6646 | |
Bryan Keith Angel Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Rodney Parham Rd Ste 3, Little Rock, AR 72205 Phone: 501-224-4799 Fax: 501-224-9278 | |
Hugh F. Burnett Dds. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 W Markham St, Suite 300, Little Rock, AR 72205 Phone: 501-225-1766 Fax: 501-225-1624 |