Individual provider · Type 1 NPI

Kenneth Alton Peavy, DMD

Periodontics · Winston Salem, NC

NPI number 1447394556 Active

Practice location

1400 Westgate Center Dr, Suite 204
Winston Salem, NC 27103-3104

Fax (336) 774-9161

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X5876 (NC)

Periodontics: 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 structures and tissues.

7 other providers at this address

Other periodontics providers in Winston Salem

See all in Winston Salem →

About NPI 1447394556

Kenneth Alton Peavy, DMD's National Provider Identifier is 1447394556, issued on Feb 20, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Winston Salem, NC. The record was last updated on Jul 8, 2007.