Kenneth Alton Peavy in Winston Salem - Periodontics
Kenneth Alton Peavy - NPI 1447394556
Kenneth Alton Peavy is a Periodontics in Winston Salem, North Carolina. Kenneth Alton Peavy practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Kenneth Alton Peavy is 1447394556. The last update date is 2007-07-08.
Kenneth Alton Peavy's current location address is 1400 Westgate Center Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3367743001 and fax number 3367749161. The mailing address for Kenneth Alton Peavy is 1400 Westgate Center Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Alton Peavy |
|---|---|
| Address | 1400 Westgate Center Dr, Winston Salem, North Carolina |
| Phone Number | 3367743001 |
| Fax Number | 3367749161 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1447394556 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1400 Westgate Center Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271033104 |
| Phone Number | 3367743001 |
| Fax Number | 3367749161 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 5876 |
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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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What is the Kenneth Alton Peavy's 1447394556?
The Kenneth Alton Peavy's NPI (National Provider Identifier) Number is 1447394556. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenneth Alton Peavy located?
The Kenneth Alton Peavy is located at 1400 Westgate Center Dr, Winston Salem, NC 271033104.
What is the Kenneth Alton Peavy's area of specialization and corresponding taxonomy classification?
The Kenneth Alton Peavy's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
When did the Kenneth Alton Peavy receive its 1447394556?
The Kenneth Alton Peavy was issued its 1447394556 on 2007-02-20, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kenneth Alton Peavy most recently updated or revised?
The details related to Kenneth Alton Peavy, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.