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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.