Jared Don Pearson, DDS
Dentist, Pediatric Dentistry in Kansas City, MO. Individual provider (NPI-1).
NPI number1235200049
StatusActive
Last updated in NPPESFeb 26, 2024
Details
- NPI
- 1235200049
- Entity type
- Individual (NPI-1)
- Name
- Jared Don Pearson
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2006
- Certification date
- Feb 26, 2024
- Last updated
- Feb 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 2021041645 | MO | Yes |
| 1223P0221X | Dentist, Pediatric Dentistry | 5279193-9922 | UT |
Practice location
8030 N Caldwell AveKansas City, MO 64152-1608
Phone 801-602-9595
Mailing address
8030 N Caldwell AveKansas City, MO 64152-1608
Phone 801-602-9595
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All 34 Pediatric Dentistry providers in Kansas City · All 16,914 providers in Kansas City
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