Provider Demographics
NPI:1477385219
Name:IAN PEARSON DMD INC.
Entity type:Organization
Organization Name:IAN PEARSON DMD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:661-222-7762
Mailing Address - Street 1:27421 TOURNEY RD STE 250
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5647
Mailing Address - Country:US
Mailing Address - Phone:661-222-7762
Mailing Address - Fax:
Practice Address - Street 1:27421 TOURNEY RD STE 250
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5647
Practice Address - Country:US
Practice Address - Phone:661-222-7762
Practice Address - Fax:661-463-5041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty