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Dr. Mark Eugene Peacock, DMD,MS
Periodontist in Augusta, Georgia
NPI 1578652616

Mark Eugene Peacock is a Periodontist based in Augusta, GA and is specialized in Periodontics. Mark Eugene Peacock practices in Augusta, GA and has the professional credentials of DMD,MS. The NPI Number for Mark Eugene Peacock is 1578652616 and holds a License No. DNCS000384 (Georgia).

The current practice location address for Mark Eugene Peacock is 1430 John Wesley Gilbert Drive, Augusta, GA and can be reached out via phone at 706-721-2441.

Location: 1430 John Wesley Gilbert Drive, Augusta, GA, 30912-3238
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Provider Profile Details
NPI Number
1578652616
Provider Name
Mark Eugene Peacock
Credential
DMD,MS
Provider Entity Type
Individual
Gender
Male
Address
1430 John Wesley Gilbert Drive, Augusta, GA, 30912-3238
Phone Number
706-721-2441
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZX3246 05 SC
003131974B 05 GA
institution
Provider Business Practice Location Address Details
Address
1430 John Wesley Gilbert Drive
City
State
Zip
30912-3238
Phone Number
706-721-2441
Fax Number
person
Provider Business Mailing Address Details
Address
1430 John Wesley Gilbert Drive
City
State
Zip
30912-3238
Phone Number
706-721-2441
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
DNCS000384 (Georgia)
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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