Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDGAR HAROLD PEACOCK JR., D.D.S.
Active Sole ProprietorDR. EDGAR HAROLD PEACOCK JR., D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in COLUMBIA, South Carolina. NPI 1275536245 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · COLUMBIA, SC
Registration Details
- NPI Number
- 1275536245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2005 (21.190522801074 yrs)
- Last Updated
- Mar 19, 2013
- License
-
1545 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2750 LAUREL STSTE 202COLUMBIA, SC, 292042024Browse SC providers · Browse ZIP 29204
- Phone
- 8032569268
- Fax
- 8032560084
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH WON-JOON PARK | D.M.D | 1205813227 |
| DR. DAVID BRIAN TEVEPAUGH | D.M.D | 1871570804 |
| DR. HEATH MCALVIN STEWART | D.M.D | 1164409058 |
| DR. JAMES LEMON | D.M.D | 1518944404 |
| DR. ROBERT MOORE CROOKS | D.M.D. | 1275503740 |
| DR. STEPHEN EDWARD CLARY | DDS | 1700848827 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.