Most Relevant Information
Provider Data
| NPI Number: | 1003823055 |
| Provider Name: | KEVIN M PIERSON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 12008018 |
Most Important Dates
| Enumeration Date: | 08/02/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
11145 HIGHWAY 135 NE
NEW SALISBURY
IN
471619224
Practice Location Phone/Fax
| Phone: | 8123644111 |
| Fax: |
Provider Mailing Location
11145 HIGHWAY 135 NE
NEW SALISBURY
IN
471619224
Provider Mailing Phone/Fax
| Phone: | 8123644111 |
| Fax: |