DR. Edgar Harold Peacock JR., D.D.S.
NPI #1275536245 in Columbia, South Carolina
Provider Information
- NPI Number
- 1275536245
- Entity Type
- Individual
- Name
- DR. Edgar Harold Peacock JR., D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- D.D.S.
- Enumeration Date
- May 24, 2005
- Last Updated
- Mar 19, 2013
Practice Location
- Address
- 2750 LAUREL ST
- Address 2
- STE 202
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29204-2024
- Phone
- (803) 256-9268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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