Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639192545 Individual Practitioner Male Practitioner

Dr. Jerry R Pearson , DMD

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Pearson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 1904 W PARKSIDE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1904 W Parkside Ln
Suite 201

Phoenix, AZ 850271228

Telephone 6234349343
Fax 6233216268
Associated Practice Facility / Clinic
🏢 Ralph Green Dds, Pc Facility NPI 1922025634

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D5104

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
612938 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Dr. Lillian Gandara , DDS

Dentist - General Practice

NPI 1003877382

Doctor of Dental Surgery

NPI 1063749158

Doctor of Dental Surgery

Dr. Amy Heil , DMD

Dentist - General Practice

NPI 1144315862

Doctor of Dental Medicine

Diane Nadwodnik , RDH

Dental Hygienist

NPI 1164093001

Registered Dental Hygienist

Dr. Christopher Bishop , DDS

Dentist - General Practice

NPI 1174587083

Doctor of Dental Surgery

Dr. Aseel Murad , DMD

Dentist - General Practice

NPI 1215954136

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 850271228 (Tel: 6234349343)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8104 N. 110TH PLACE, PHOENIX, AZ 85020 (Tel: 6234349343)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY PEARSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D5104 in AZ)

🟢
Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jerry Pearson. Be the first to share your experience!

Sign in to leave a review for Dr. Jerry Pearson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1639192545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

8104 N. 110th Place

Phoenix, AZ 85020

Phone: 6234349343

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.