Peacock, John David

Peacock, John David is an sole proprietor health care provider with primary practice located at 24 Waleska St , Canton GA 30114-2739. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peacock, John David can be contacted via phone (770) 479-5569.

Contact Information

Primary practice address
24 Waleska St Canton GA 30114-2739
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN008073 Georgia

Profile Details

NPI number 1306982921
LBN Legal business name Peacock, John David
Credentials DDS, FAGD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated May 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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