Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry R Pearson, DMD

Individual provider General Practice Dentistry · NPI 1639192545

Jerry R Pearson, DMD is a General Practice Dentistry in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1904 W Parkside Ln Ste 201
Phoenix, AZ 85027-1228
Phone: (623) 434-9343
Fax: (623) 321-6268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D5104 (AZ)

Record details

NPI number1639192545
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 25, 2006
Last updated in NPPESJuly 8, 2007
Mailing address8104 N. 110th Place, Phoenix, AZ 85020

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