Jeffrey Allan Peck in Utica - Periodontics

Jeffrey Allan Peck - NPI 1952499634

Jeffrey Allan Peck is a Periodontics in Utica, New York. Jeffrey Allan Peck practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jeffrey Allan Peck is 1952499634. The last update date is 2007-07-08.

Jeffrey Allan Peck's current location address is 2604 Genesee St, Utica, New York. You can contact this provider via phone number 3157356441 and fax number 3157350932. The mailing address for Jeffrey Allan Peck is 2604 Genesee St, Utica, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Allan Peck
Address 2604 Genesee St, Utica, New York
Phone Number 3157356441
Fax Number 3157350932
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1952499634
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2604 Genesee St
City Utica
State New York (NY)
Post Code 135026003
Phone Number 3157356441
Fax Number 3157350932

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 37475
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Jeffrey Allan Peck

What is the unique 10-digit identifier code issued to Jeffrey Allan Peck by the Centers for Medicare & Medicaid Services?

The Jeffrey Allan Peck has been assigned the NPI (National Provider Identifier) 1952499634 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Jeffrey Allan Peck's physical address?

The Jeffrey Allan Peck is physically located at 2604 Genesee St, in the city of Utica, NY, with the postal code 135026003.

What is Jeffrey Allan Peck's area of expertise and its corresponding taxonomy classification?

The Jeffrey Allan Peck's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1952499634 to Jeffrey Allan Peck?

The Centers for Medicare & Medicaid Services originally issued the 1952499634 to Jeffrey Allan Peck on 2006-10-10.

As of what date was the information regarding Jeffrey Allan Peck, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jeffrey Allan Peck, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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