Edgar H Peacock, Jr, DDS, PA
Edgar H Peacock, Jr, DDS, PA is an Oral and Maxillofacial Surgery (Dentist) in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2008.
- Licensed in
- SC
- In the registry since
- 2008
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2750 Laurel St Ste 202Columbia, SC 29204-2038
Phone: (803) 256-9268
Fax: (803) 256-0084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 1545/OS161 (SC) |
|---|
Record details
| NPI number | 1952587644 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edgar Peacock — President · (803) 256-9268 |
| NPI enumerated | January 14, 2008 |
| Last updated in NPPES | January 14, 2008 |
| Mailing address | 2750 Laurel St, Suite 202, Columbia, SC 29204-2038 |
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