Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Alton Peavy, DMD

Individual provider Periodontics · NPI 1447394556

Dr. Kenneth Alton Peavy, DMD is a Periodontics in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1400 Westgate Center Dr Ste 204
Winston Salem, NC 27103-3104
Phone: (336) 774-3001
Fax: (336) 774-9161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 5876 (NC)

Record details

NPI number1447394556
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJuly 8, 2007

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