Provider Demographics
NPI:1447384151
Name:PEARCE, TROY RAYMOND (DMD)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:RAYMOND
Last Name:PEARCE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:513-651-9036
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
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0227321223G0001X
KY83561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice