RANDOLPH C. PEARSON, D.D.S., P.S.
NPI 1790706653
Dentist - General Practice in Walla Walla, WA

Q: What is Randolph C. Pearson, D.D.S., P.S.'s NPI number?

The NPI number for Randolph C. Pearson, D.D.S., P.S. is 1790706653. It was assigned to this organization in the NPPES registry on July 23, 2006.

Q: What is Randolph C. Pearson, D.D.S., P.S.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 23, 2006

121 W POPLAR ST STE C, WALLA WALLA, WA 99362(509) 525-2850(509) 529-6545 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Randolph C. Pearson, D.d.s., P.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDOLPH C. PEARSON, D.D.S., P.S. (NPI 1790706653) is a healthcare organization registered as a general practice in Walla Walla, Washington and active in the NPI registry since July 2006. The organization lists Randolph C. Pearson, President, as its authorized official.

NPPES Registry Identity

NPI1790706653

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameRANDOLPH C. PEARSON, D.D.S., P.S.

Location Address121 W POPLAR ST STE CWalla Walla, WA 99362-2871

Mailing Address121 W Poplar St Ste CWalla Walla, WA 99362-2871 · (509) 525-2850 · Fax (509) 529-6545

Phone(509) 525-2850

Fax(509) 529-6545

Organization SubpartNo

Authorized OfficialRandolph C. PearsonPresident · (509) 525-2850

Enumeration DateJuly 23, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1790706653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · 4967

Definition

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.

121 W POPLAR ST STE C, Walla Walla, WA 99362

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Other Identifiers 1

Medicaid5512702WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph C. Pearson, D.D.S., P.S.'s NPI number?

The NPI number for Randolph C. Pearson, D.D.S., P.S. is 1790706653. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Randolph C. Pearson, D.D.S., P.S. located?

Randolph C. Pearson, D.D.S., P.S. is located at 121 W Poplar St Ste C, Walla Walla, WA 99362. The listed phone number is (509) 525-2850.

What is Randolph C. Pearson, D.D.S., P.S.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Randolph C. Pearson, D.D.S., P.S. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.