Kenneth E Pearson Dds Pa

LBN: Kenneth E Pearson Dds Pa
Kenneth E Pearson Dds Pa is an health care organization with primary practice located at 12921 Cantrell Rd Suite 200 , Little Rock AR 72223. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Kenneth E Pearson Dds Pa can be contacted via phone (501) 221-1200, or through Hastings, Nancy C via phone (501) 221-1200.

Contact Information

Primary practice address
12921 Cantrell Rd Suite 200 Little Rock AR 72223
Phone: (501) 221-1200
Fax: (501) 221-1326
Website:
Map and Directions
Authorized official contact:
Name: Hastings, Nancy C
Phone: (501) 221-1200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 2694 Arkansas

Profile Details

NPI number 1871610857
LBN Legal business name Kenneth E Pearson Dds Pa
DBA Doing business as
Authorized official Hastings, Nancy C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 11th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871610857 NPPES
Other 56311 BCBS
MEDICAID 111380608 BCBS
Other 696033 BCBS

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