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Dr. Kenneth Alton Peavy, DMD
Periodontist in Winston Salem, North Carolina
NPI 1447394556

Kenneth Alton Peavy is a Periodontist based in Winston Salem, NC and is specialized in Periodontics. Kenneth Alton Peavy practices in Winston Salem, NC and has the professional credentials of DMD. The NPI Number for Kenneth Alton Peavy is 1447394556 and holds a License No. 5876 (North Carolina).

The current practice location address for Kenneth Alton Peavy is 1400 Westgate Center Dr, Winston Salem, NC and can be reached out via phone at 336-774-3001 and via fax at 336-774-9161.

Location: 1400 Westgate Center Dr, Winston Salem, NC, 27103-3104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447394556
Provider Name
Kenneth Alton Peavy
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1400 Westgate Center Dr, Winston Salem, NC, 27103-3104
Phone Number
336-774-3001
Fax Number
336-774-9161
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1400 Westgate Center Dr
City
Winston Salem
State
North Carolina
Zip
27103-3104
Phone Number
336-774-3001
Fax Number
336-774-9161
person
Provider Business Mailing Address Details
Address
1400 Westgate Center Dr
City
Winston Salem
State
North Carolina
Zip
27103-3104
Phone Number
336-774-3001
Fax Number
336-774-9161
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
5876 (North Carolina)
Definition
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.
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