MR. WILLIAM KEITH PEARSON


Address: 40 N Kingshighway Blvd Apt 4l, Saint Louis, MO 63108-1350
Phone: 3143675820

MR. WILLIAM KEITH PEARSON (NPI# 1699776153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699776153
Entity Type Individual
Full Name MR. WILLIAM KEITH PEARSON
Credential DDS
Practice Address 40 N Kingshighway Blvd Apt 4l
Saint Louis
MO 63108-1350
Practice Telephone 3143675820
Practice Fax Number 3143676326
Mailing Telephone 3143675820
Mailing Fax Number 3143676326
Enumeration Date 2005-08-09
Last Update Date 2015-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 014703 MO Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 402458855 05

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Office Location

Street Address 40 N KINGSHIGHWAY BLVD APT 4L
City SAINT LOUIS
State MO
Zip Code 63108-1350

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1609414358 Kaylee Breitenbucher Occupational Therapist 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 2019-12-12
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1003338492 Khin Min Thu Social Worker 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 2017-07-07
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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1962936765 Alex Sharifian Dds Rock Hill Dentistry PC Dentist 9601 Manchester Rd, Saint Louis, MO 63119-1333 2017-04-18
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1427506781 Karim Allahdina Dentist 3331 Locust St, 301, Saint Louis, MO 63103-1154 2016-09-15
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Competitor

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City SAINT LOUIS
Zip Code 63108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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