Provider Demographics
NPI:1023350469
Name:PEHRSON, DAVID M (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:PEHRSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3155 N POINT PKWY
Mailing Address - Street 2:BUILDING D SUITE 220
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5481
Mailing Address - Country:US
Mailing Address - Phone:770-346-7717
Mailing Address - Fax:770-346-9175
Practice Address - Street 1:3155 N POINT PKWY
Practice Address - Street 2:BUILDING D SUITE 220
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-5481
Practice Address - Country:US
Practice Address - Phone:770-346-7717
Practice Address - Fax:770-346-9175
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0112591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice