Provider Demographics
NPI:1407840218
Name:PEARCE, MEGAN GAY (DDS)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:GAY
Last Name:PEARCE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 ROAD 26
Mailing Address - Street 2:
Mailing Address - City:WALLACE
Mailing Address - State:KS
Mailing Address - Zip Code:67761-3038
Mailing Address - Country:US
Mailing Address - Phone:785-891-3551
Mailing Address - Fax:785-891-3551
Practice Address - Street 1:504 MAIN ST
Practice Address - Street 2:
Practice Address - City:GOODLAND
Practice Address - State:KS
Practice Address - Zip Code:67735-1842
Practice Address - Country:US
Practice Address - Phone:785-899-6222
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS602061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice