Provider Demographics
NPI:1144314923
Name:PEARCE, WILLIAM L JR (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:L
Last Name:PEARCE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:974 73RD ST
Mailing Address - Street 2:SUITE 37
Mailing Address - City:WINDSOR HEIGHTS
Mailing Address - State:IA
Mailing Address - Zip Code:50312-1024
Mailing Address - Country:US
Mailing Address - Phone:515-288-5511
Mailing Address - Fax:515-288-5552
Practice Address - Street 1:974 73RD ST
Practice Address - Street 2:SUITE 37
Practice Address - City:WINDSOR HEIGHTS
Practice Address - State:IA
Practice Address - Zip Code:50312-1024
Practice Address - Country:US
Practice Address - Phone:515-288-5511
Practice Address - Fax:515-288-5552
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA57891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice