| Randolph C Pearson, DDS | |
|
121 W Poplar St, Ste C, Walla Walla, WA 99362-2871 | |
| (509) 525-2850 | |
| (509) 529-6545 |
| Full Name | Randolph C Pearson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 121 W Poplar St, Walla Walla, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336122852 | NPI | - | NPPES |
| 5512702 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4967 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph C Pearson, DDS Po Box 445, Waitsburg, WA 99361-0445 Ph: (509) 337-8881 | Randolph C Pearson, DDS 121 W Poplar St, Ste C, Walla Walla, WA 99362-2871 Ph: (509) 525-2850 |
Mr. Chad T. Ordelheide, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Penny Ln, Walla Walla, WA 99362 Phone: 509-525-2752 Fax: 509-525-9063 | |
Dr. Dwight Layne Johnson, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1129 S 2nd Ave Ste D, Walla Walla, WA 99362 Phone: 509-516-1200 Fax: 509-516-1209 | |
Dr. Julie M Kellogg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Penny Ln, Walla Walla, WA 99362 Phone: 509-522-0940 Fax: 509-525-9063 | |
Nadia Farjo, DMD MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 614 E Alder St Ste 2, Walla Walla, WA 99362 Phone: 206-948-1249 | |
Fnu Nisina, Dentist Medicare: Medicare Enrolled Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 | |
Dr. Richard Jon Sundberg, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3762 Fax: 509-529-7622 | |
Michael Philip Holman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 850 Juniper St, Walla Walla, WA 99362 Phone: 509-525-1104 |