Peck, Michael A.

Peck, Michael A. is an sole proprietor health care provider with primary practice located at 5038 Tennyson Pkwy Suite A, Plano TX 75024-2954. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Peck, Michael A. can be contacted via phone (972) 403-8700.

Contact Information

Primary practice address
5038 Tennyson Pkwy Suite A Plano TX 75024-2954
Phone: (972) 403-8700
Fax: (972) 403-8788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 13995 Texas
Dental Providers / Periodontics 1223P0300X 13995 Texas

Profile Details

NPI number 1255543146
LBN Legal business name Peck, Michael A.
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Nov 19th, 2009 - about 15 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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