IndividualActive
Edgar Peacock, D.D.S.
NPI 1275536245 · Oral and Maxillofacial Surgery (Dentist) · Columbia, SC
Provider details
- NPI number
- 1275536245
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1545 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2750 Laurel St
Ste 202
Columbia, SC 29204-2024
Phone: (803) 256-9268
Fax: (803) 256-0084
Street-level locationGet directions
Mailing address
2750 Laurel St
Columbia, SC 29204-2024
Registry dates
- Enumerated
- 2005-05-24
- Last updated
- 2013-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.