Edgar H Peacock, Jr, Dds, Pa

LBN: Edgar H Peacock, Jr, Dds, Pa
Edgar H Peacock, Jr, Dds, Pa is an health care organization with primary practice located at 2750 Laurel St Suite 202, Columbia SC 29204-2038. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Edgar H Peacock, Jr, Dds, Pa can be contacted via phone (803) 256-9268, or through Peacock, Edgar Harold via phone (803) 256-9268.

Contact Information

Primary practice address
2750 Laurel St Suite 202 Columbia SC 29204-2038
Phone: (803) 256-9268
Fax: (803) 256-0084
Website:
Map and Directions
Authorized official contact:
Name: Peacock, Edgar Harold Doctor of Dental Surgery (DDS)
Phone: (803) 256-9268

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1545/OS161 South Carolina

Profile Details

NPI number 1952587644
LBN Legal business name Edgar H Peacock, Jr, Dds, Pa
DBA Doing business as
Authorized official Peacock, Edgar Harold Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2008
Last updated Jan 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952587644 NPPES
South Carolina MEDICAID Z15458
South Carolina MEDICAID ZA9549

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