Individual provider · Type 1 NPI
Stephanie Peacock
General Practice Dentistry · La Mesa, CA
NPI number
1417524539
Active
Practice location
8530 La Mesa Blvd, Unit 204
La Mesa, CA 91942
Mailing address
325 W Washington, Suite 2 #3072
San Diego, CA 92103-1946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 108449 (CA) |
General Practice Dentistry: 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.
2 other providers at this address
Other general practice dentistry providers in La Mesa
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- Kambiz Ghandehari, DDSGeneral Practice Dentistry La Mesa, CA NPI 1063523355
- Rita M. Barkett, DDSGeneral Practice Dentistry La Mesa, CA NPI 1073650172
- Craig Edward Kubina, DDSGeneral Practice Dentistry La Mesa, CA NPI 1093856627
- George S. Matosian, DDSGeneral Practice Dentistry La Mesa, CA NPI 1104167162
- Jose H. Torres-Uribe, DDSGeneral Practice Dentistry La Mesa, CA NPI 1104960327
- Erin Rebecca Ransom, DMD, MSTGeneral Practice Dentistry La Mesa, CA NPI 1124554530
About NPI 1417524539
Stephanie Peacock's National Provider Identifier is 1417524539, issued on Jun 8, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in La Mesa, CA. The record was last updated on Aug 25, 2023.