Provider Demographics
NPI:1356429773
Name:PEARCE, RUBERT BENJAMIN III (DDS)
Entity type:Individual
Prefix:DR
First Name:RUBERT
Middle Name:BENJAMIN
Last Name:PEARCE
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3112 ARENDELL ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-3202
Mailing Address - Country:US
Mailing Address - Phone:252-247-5602
Mailing Address - Fax:252-247-5604
Practice Address - Street 1:3112 ARENDELL ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3202
Practice Address - Country:US
Practice Address - Phone:252-247-5602
Practice Address - Fax:252-247-5604
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC56231223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics