DR. Dan C Peavy, D.D.S., M.S.D.
NPI #1497750806 in San Antonio, Texas
Provider Information
- NPI Number
- 1497750806
- Entity Type
- Individual
- Name
- DR. Dan C Peavy, D.D.S., M.S.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.D.S., M.S.D.
- Enumeration Date
- Jun 14, 2005
- Last Updated
- Mar 11, 2009
Practice Location
- Address
- 100 W OLMOS
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78212-1988
- Phone
- (210) 826-3201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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