Healthcare Provider Details
I. General information
NPI: 1992662860
Provider Name (Legal Business Name): CRAIG PEARCE DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5920 EVERGREEN WAY STE E
EVERETT WA
98203-6005
US
IV. Provider business mailing address
5920 EVERGREEN WAY STE E
EVERETT WA
98203-6005
US
V. Phone/Fax
- Phone: 425-353-4884
- Fax: 425-353-6194
- Phone: 425-353-4884
- Fax: 425-353-6194
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CRAIG
E
PEARCE
Title or Position: OWNER
Credential: DMD
Phone: 425-353-4884