Provider Demographics
NPI:1770702854
Name:PEARCE, JAMES S (DDS, PLC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:PEARCE
Suffix:
Gender:M
Credentials:DDS, PLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7201 W SAGINAW HWY
Mailing Address - Street 2:325
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-1131
Mailing Address - Country:US
Mailing Address - Phone:517-323-0922
Mailing Address - Fax:517-323-9006
Practice Address - Street 1:7201 W SAGINAW HWY
Practice Address - Street 2:325
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-1131
Practice Address - Country:US
Practice Address - Phone:517-323-0922
Practice Address - Fax:517-323-9006
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI13650122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist