Provider Demographics
NPI:1861664658
Name:AYCOX-PEARSON & ASSOCIATES
Entity Type:Organization
Organization Name:AYCOX-PEARSON & ASSOCIATES
Other - Org Name:AYCOX & PEARSON FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-576-0602
Mailing Address - Street 1:307 E OVILLA RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-3833
Mailing Address - Country:US
Mailing Address - Phone:972-576-0602
Mailing Address - Fax:972-576-1692
Practice Address - Street 1:307 E OVILLA RD
Practice Address - Street 2:SUITE 400
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-3833
Practice Address - Country:US
Practice Address - Phone:972-576-0602
Practice Address - Fax:972-576-1692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty