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

Stephanie Peacock

Individual provider General Practice Dentistry · NPI 1417524539

Stephanie Peacock is a General Practice Dentistry in LA Mesa, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

8530 La Mesa Blvd Unit 204
LA Mesa, CA 91942
Phone: (619) 494-2492
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 108449 (CA)

Record details

NPI number1417524539
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2021
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address325 W Washington, Suite 2 #3072, San Diego, CA 92103-1946

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