institution
Edgar H Peacock, Jr, Dds, Pa
Oral and Maxillofacial Surgery (Dentist) in Columbia, South Carolina
NPI 1952587644

Edgar H Peacock, Jr, Dds, Pa is a Oral and Maxillofacial Surgery (Dentist) based in Columbia, SC and is specialized in Oral and Maxillofacial Surgery. Edgar H Peacock, Jr, Dds, Pa practices in Columbia, SC. The NPI Number for Edgar H Peacock, Jr, Dds, Pa is 1952587644 and holds a License No. 1545/OS161 (South Carolina).

The current practice location address for Edgar H Peacock, Jr, Dds, Pa is 2750 Laurel St, Columbia, SC and can be reached out via phone at 803-256-9268 and via fax at 803-256-0084. You can also correspond with Edgar H Peacock, Jr, Dds, Pa through the mailing address at 2750 LAUREL ST, COLUMBIA, SC - 29204-2038 (mailing address contact number: 803-256-9268).

Location: 2750 Laurel St, Columbia, SC, 29204-2038
institution
Provider Profile Details
NPI Number
1952587644
Provider Name
Edgar H Peacock, Jr, Dds, Pa
Credential
Provider Entity Type
Organization
Address
2750 Laurel St, Columbia, SC, 29204-2038
Phone Number
803-256-9268
Fax Number
803-256-0084
Provider Enumeration Date
01/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z15458 05 SC
ZA9549 05 SC
institution
Provider Business Practice Location Address Details
Address
2750 Laurel St
City
State
Zip
29204-2038
Phone Number
803-256-9268
Fax Number
803-256-0084
person
Provider Business Mailing Address Details
Address
2750 Laurel St
City
State
Zip
29204-2038
Phone Number
803-256-9268
Fax Number
803-256-0084
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
1545/OS161 (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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