Provider Demographics
NPI:1538165329
Name:PIERSON, DENNIS J (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:J
Last Name:PIERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3433 AGLER RD STE 2800
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3389
Mailing Address - Country:US
Mailing Address - Phone:614-859-1906
Mailing Address - Fax:614-458-1849
Practice Address - Street 1:1905 PARSONS AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-1933
Practice Address - Country:US
Practice Address - Phone:614-586-4159
Practice Address - Fax:614-586-4252
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2025-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.043987207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000031107OtherANTHEM BCBS
OH341834728027OtherCARESOURCE
OH000000029652OtherANTHEM BCBS
OH0919474OtherAETNA
OH080149193OtherRAILROAD MEDICARE
OH03944OtherPARAMOUNT
OH0483267Medicaid
OH4354207OtherAETNA HMO
OH735029OtherBUCKEYE COMMUNITY HEALTH
OH4354207OtherAETNA HMO
OH0483354Medicare ID - Type Unspecified