Kent L. Peacock in Odessa - General Practice
Kent L. Peacock - NPI 1942218227
Kent L. Peacock is a General Practice in Odessa, Texas. Kent L. Peacock practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kent L. Peacock is 1942218227. The last update date is 2007-07-08.
Kent L. Peacock's current location address is 1601 N Texas Ave, Odessa, Texas. You can contact this provider via phone number 4323325175 and fax number 4323322886. The mailing address for Kent L. Peacock is 1601 N Texas Ave, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kent L. Peacock |
|---|---|
| Address | 1601 N Texas Ave, Odessa, Texas |
| Phone Number | 4323325175 |
| Fax Number | 4323322886 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1942218227 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1601 N Texas Ave |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797612649 |
| Phone Number | 4323325175 |
| Fax Number | 4323322886 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13668 |
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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. |
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What is the Kent L. Peacock's unique identification number?
The Kent L. Peacock has been assigned the NPI (National Provider Identifier) Number 1942218227 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Kent L. Peacock is physically located?
The Kent L. Peacock is physically situated at the following address: 1601 N Texas Ave, Odessa, TX, 797612649.
What is Kent L. Peacock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kent L. Peacock's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Kent L. Peacock receive the assignment of its 1942218227 from the Centers for Medicare & Medicaid Services?
The Kent L. Peacock was issued its 1942218227 by the Centers for Medicare & Medicaid Services on 2006-08-03.
When was the information pertaining to Kent L. Peacock most recently updated or revised?
The details related to Kent L. Peacock, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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