Organization · Type 2 NPI

Edgar H Peacock, Jr, Dds, PA

Oral and Maxillofacial Surgery (Dentist) · Columbia, SC

NPI number 1952587644 Active

Practice location

2750 Laurel St, Suite 202
Columbia, SC 29204-2038

Call (803) 256-9268 Map

Fax (803) 256-0084

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X1545/OS161 (SC)

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 1952587644

Edgar H Peacock, Jr, Dds, PA's National Provider Identifier is 1952587644, issued on Jan 14, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Columbia, SC. The record was last updated on Jan 14, 2008.