Clyde Douglas Peedin Jr. is a Roanoke Rapids, North Carolina based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Clyde Douglas Peedin Jr. is
4676 for Dentistry in North Carolina. His current practice location is
110 Professional Dr, Roanoke Rapids. Patients can reach him at
252-537-0438.
Clyde Douglas Peedin Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Clyde Douglas Peedin Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Clyde Douglas Peedin Jr. |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 110 Professional Dr, Roanoke Rapids,
North Carolina, 27820 |
| Phone: | 252-537-0438 |
| Fax: | 252-537-0430 |
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 are as mentioned below.
| NPI Number: | 1700996816 |
| NPI Enumeration Date: | 30 Aug, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clyde Douglas Peedin Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 4676 | Dentistry | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Clyde Douglas Peedin Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8996771 | Medicaid | North Carolina | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 110 Professional Dr,
Roanoke Rapids, North Carolina |
| Zip: | 27820 |
| Phone Number: | 252-537-0438 |
| Fax Number: | 252-537-0430 |
Patients can reach Clyde Douglas Peedin Jr. at
110 Professional Dr, Roanoke Rapids, North Carolina or can
call to book an appointment on 252-537-0438.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.