Dr. Kevin Pearson DDS
Dentist in Bozeman, MT. Organization (NPI-2).
NPI number1245926575
StatusActive
Last updated in NPPESMay 1, 2023
Details
- NPI
- 1245926575
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Kevin Pearson DDS
- Organization subpart
- No
- Enumeration date
- Apr 11, 2023
- Certification date
- May 1, 2023
- Last updated
- May 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Practice location
121 W Kagy BlvdBozeman, MT 59715-6000
Phone 406-587-7200
Mailing address
121 W Kagy BlvdBozeman, MT 59715-6000
Phone 406-587-7200
Authorized official
Tylie Blackburn
Assitant
4065877200
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