Peacock Dental Associates Ltd in Elgin - Dentist
Peacock Dental Associates Ltd - NPI 1346315645
Peacock Dental Associates Ltd is a Dentist in Elgin, Illinois. Peacock Dental Associates Ltd practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peacock Dental Associates Ltd is 1346315645. The last update date is 2020-08-22.
Peacock Dental Associates Ltd's current location address is 320 N Mclean Blvd, Elgin, Illinois. You can contact this provider via phone number 8476972550 and fax number 8476970308. The mailing address for Peacock Dental Associates Ltd is 320 N Mclean Blvd, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peacock Dental Associates Ltd |
|---|---|
| Address | 320 N Mclean Blvd, Elgin, Illinois |
| Phone Number | 8476972550 |
| Fax Number | 8476970308 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Peacock Martin John |
| Credentials | DDS |
| Telephone Number | 8476972550 |
NPI Number Detail
| NPI Number | 1346315645 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 320 N Mclean Blvd |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 60123 |
| Phone Number | 8476972550 |
| Fax Number | 8476970308 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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: denti |
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What is the unique provider identifier assigned to Peacock Dental Associates Ltd?
The Peacock Dental Associates Ltd has been issued the NPI (National Provider Identifier) 1346315645 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Peacock Dental Associates Ltd?
The Peacock Dental Associates Ltd is physically situated at 320 N Mclean Blvd, in the city of Elgin, state of IL, with the postal code 60123.
What is the Peacock Dental Associates Ltd's specialty and taxonomy code?
The Peacock Dental Associates Ltd's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1346315645 to Peacock Dental Associates Ltd?
The Centers for Medicare & Medicaid Services originally issued the 1346315645 to Peacock Dental Associates Ltd on 2006-11-21.
When was the information related to Peacock Dental Associates Ltd most recently updated or refreshed?
The details pertaining to the Peacock Dental Associates Ltd, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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