Edgar H Peacock, Jr, Dds, Pa
Oral and Maxillofacial Dental Clinic
2750 Laurel St, Suite 202, Columbia
South Carolina, 29204-2038
803-256-9268 803-256-0084
Maps & DirectionsEdgar H Peacock, Jr, Dds, Pa is a Oral and Maxillofacial Dental Clinic in Columbia, South Carolina. It is located at 2750 Laurel St, Suite 202, Columbia, SC and its contact number is 803-256-9268. The authorized person for Edgar H Peacock, Jr, Dds, Pa is Dr. Edgar Harold Peacock Jr.
who is President of the clinic and their contact number is 803-256-9268. The primary license number for Edgar H Peacock, Jr, Dds, Pa is 1545/OS161 (Oral and Maxillofacial Surgery) in South Carolina.
Edgar H Peacock, Jr, Dds, Pa Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Edgar H Peacock, Jr, Dds, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Edgar H Peacock, Jr, Dds, Pa |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 2750 Laurel St, Suite 202, Columbia,
South Carolina, 29204-2038 |
| Phone: | 803-256-9268 |
| Fax: | 803-256-0084 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Edgar Harold Peacock Jr. |
| Position: | President |
| Contact Number: | 803-256-9268 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Edgar H Peacock, Jr, Dds, Pa clinic are as mentioned below.
| NPI Number: | 1952587644 |
| NPI Enumeration Date: | 14 Jan, 2008 |
| NPI Last Update On: | 14 Jan, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edgar H Peacock, Jr, Dds, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 1545/OS161 | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| Z15458 | Medicaid | South Carolina | |
| ZA9549 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Edgar H Peacock, Jr, Dds, Pa
2750 Laurel St, Suite 202
Columbia, South Carolina |
| Zip: | 29204-2038 |
| Phone Number: | 803-256-9268 |
| Fax Number: | 803-256-0084 |
Patients can reach Edgar H Peacock, Jr, Dds, Pa at
2750 Laurel St, Suite 202, Columbia, South Carolina or can
call to book an appointment on 803-256-9268.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.