Provider Demographics
NPI:1730182536
Name:PEARCE, CRAIG EUGENE (DMD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:EUGENE
Last Name:PEARCE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5920 EVERGREEN WAY
Mailing Address - Street 2:STE E
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-6005
Mailing Address - Country:US
Mailing Address - Phone:425-353-4884
Mailing Address - Fax:425-353-6197
Practice Address - Street 1:5920 EVERGREEN WAY
Practice Address - Street 2:STE E
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-6005
Practice Address - Country:US
Practice Address - Phone:425-353-4884
Practice Address - Fax:425-353-6197
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000077851223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics