Dr. Edgar Harold Peacock JR., DDS
Oral and Maxillofacial Surgery (Dentist) in Columbia, South Carolina
NPI 1275536245

Edgar Harold Peacock JR. is a Oral and Maxillofacial Surgery (Dentist) based in Columbia, SC and is specialized in Oral and Maxillofacial Surgery. Edgar Harold Peacock JR. practices in Columbia, SC and has the professional credentials of DDS. The NPI Number for Edgar Harold Peacock JR. is 1275536245 and holds a License No. 1545 (South Carolina).

The current practice location address for Edgar Harold Peacock JR. is 2750 Laurel St, Columbia, SC and can be reached out via phone at 803-256-9268 and via fax at803-256-0084. You can also correspond with Edgar Harold Peacock JR. through the mailing address at 2750 LAUREL ST, COLUMBIA, SC - 29204-2024 (mailing address contact number: 803-256-9268).

person
Provider Profile Details
NPI Number
1275536245
Provider Name
Edgar Harold Peacock JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2750 Laurel St, Columbia, SC, 29204-2024
Phone Number
803-256-9268
Fax Number
803-256-0084
Provider Enumeration Date
05/24/2005
Last Update Date
03/19/2013
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA9549 05 SC
Z15458 05 SC
institution
Provider Business Practice Location Address Details
Address
2750 Laurel St
City
Columbia
State
South Carolina
Zip
29204-2024
Phone Number
803-256-9268
Fax Number
803-256-0084
person
Provider Business Mailing Address Details
Address
2750 Laurel St
City
Columbia
State
South Carolina
Zip
29204-2024
Phone Number
803-256-9268
Fax Number
803-256-0084
person
Provider's Primary Taxonomy Details
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
1545 (South Carolina)
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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