Corsicana Childrens Dental Associates

Organization Active NPI Pediatric Dentistry · Corsicana, TX

NPI 1063789550 · NPPES record last updated Dec 26, 2011

Key facts

NPI
1063789550
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Dentistry 1223P0221X
License
21036 (TX)
Legal business name
CORSICANA CHILDRENS DENTAL ASSOCIATES
Practice address
842 W 7TH Ave
Suite D
Corsicana, TX 75110-6318
Phone
(903) 847-5437
Fax
(972) 499-1040
NPI assigned
Nov 28, 2011
Organization subpart
No

Authorized official

Name
Dr. Allen I Pearson, DDS
Title
Owner
Phone
(903) 874-5437

National Provider Directory

Locations

842 W 7th Ave
Ste D
Corsicana, TX 75110
Phone (903) 847-5437

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223P0221X 21036 TX Yes

Addresses

Primary practice location

842 W 7TH Ave
Suite D
Corsicana, TX 75110-6318

Mailing address

842 W 7TH Ave
Suite D
Corsicana, TX 75110-6318
Phone (903) 847-5437

Other providers in Corsicana, TX

All providers in Corsicana, TX · Pediatric Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.