Edgar 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.