Individual provider · Type 1 NPI

Russell C. Peck, DDS

Oral and Maxillofacial Surgery (Dentist) · Memphis, TN

NPI number 1649249533 Active

Practice location

116 N Pauline St
Memphis, TN 38104-1005

Call (901) 523-8990 Map

Mailing address

5346 Wildbrook Cv
Memphis, TN 38120-2759

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS4250 (TN)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1649249533

Russell C. Peck, DDS's National Provider Identifier is 1649249533, issued on Mar 14, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Memphis, TN. The record was last updated on Jul 13, 2026.