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General NPI Number Information
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NPI Number | 1730486630
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Entity Type | Individual
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Provider Name | JOSEPH EDWARD PIERSE DMD
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Gender | Male
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Dates
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Enumeration Date | 02/12/2011
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 2060 W WHISPERING WIND DR STE 167
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City | PHOENIX
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State | AZ
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Zip | 85085-2869
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Country | US
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Telephone | 623-518-2325
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Fax | 623-547-6002
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Provider Business Mailing Address
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Address Line | 2060 W WHISPERING WIND DR STE 167
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City | PHOENIX
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State | AZ
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Zip | 85085-2869
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Country | US
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Telephone | 623-518-2325
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Fax | 623-547-6002
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | D009562
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN10000125
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D009562
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License Number State | AZ
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