Provider Demographics
NPI:1427625938
Name:PEARCE DENTAL GROUP, LLC
Entity type:Organization
Organization Name:PEARCE DENTAL GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARCE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-957-7986
Mailing Address - Street 1:425 WALNUT ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-3939
Mailing Address - Country:US
Mailing Address - Phone:513-651-0110
Mailing Address - Fax:
Practice Address - Street 1:425 WALNUT ST STE 201
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-3939
Practice Address - Country:US
Practice Address - Phone:513-651-0110
Practice Address - Fax:513-651-9036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental