Edgar H Peacock, Jr, Dds, Pa in Columbia - Oral And Maxillofacial Surgery
Edgar H Peacock, Jr, Dds, Pa - NPI 1952587644
Edgar H Peacock, Jr, Dds, Pa is a Oral And Maxillofacial Surgery in Columbia, South Carolina. Edgar H Peacock, Jr, Dds, Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Edgar H Peacock, Jr, Dds, Pa is 1952587644. The last update date is 2008-01-14.
Edgar H Peacock, Jr, Dds, Pa's current location address is 2750 Laurel St, Columbia, South Carolina. You can contact this provider via phone number 8032569268 and fax number 8032560084. The mailing address for Edgar H Peacock, Jr, Dds, Pa is 2750 Laurel St, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edgar H Peacock, Jr, Dds, Pa |
|---|---|
| Address | 2750 Laurel St, Columbia, South Carolina |
| Phone Number | 8032569268 |
| Fax Number | 8032560084 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Peacock Harold Edgar |
| Credentials | D. D. S |
| Telephone Number | 8032569268 |
NPI Number Detail
| NPI Number | 1952587644 |
|---|---|
| Provider Enumeration Date | 2008-01-14 |
| Last Updated Date | 2008-01-14 |
Provider Mailing Address Detail
| Address | 2750 Laurel St |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292042038 |
| Phone Number | 8032569268 |
| Fax Number | 8032560084 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 1545/OS161 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z15458 | SC | -- | |
| ZA9549 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edgar H Peacock, Jr, Dds, Pa by the Centers for Medicare & Medicaid Services?
The Edgar H Peacock, Jr, Dds, Pa has been assigned the NPI (National Provider Identifier) 1952587644. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Edgar H Peacock, Jr, Dds, Pa?
The Edgar H Peacock, Jr, Dds, Pa is physically situated at 2750 Laurel St, in the city of Columbia, state of SC, with the postal code 292042038.
What is Edgar H Peacock, Jr, Dds, Pa's area of expertise and its corresponding taxonomy classification?
The Edgar H Peacock, Jr, Dds, Pa's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1952587644 to Edgar H Peacock, Jr, Dds, Pa?
The Centers for Medicare & Medicaid Services assigned the 1952587644 to Edgar H Peacock, Jr, Dds, Pa on 2008-01-14.
When was the information pertaining to Edgar H Peacock, Jr, Dds, Pa most recently updated or revised?
The details related to Edgar H Peacock, Jr, Dds, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-14.