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

Sidney Peavy

Individual provider Dentist · NPI 1053795245

Sidney Peavy is a Dentist in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
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Practice location Address checks out

4828 Columbia Ave
Dallas, TX 75226-1011
Phone: (214) 823-0202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 31263 (TX)

Record details

NPI number1053795245
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 17, 2015
Last updated in NPPESJuly 17, 2015
Mailing address350 N Clark St, 6th Floor, Chicago, IL 60654-4712

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