OrganizationActive
Edgar H Peacock, Jr, DDS, PA
NPI 1952587644 · Oral and Maxillofacial Surgery (Dentist) · Columbia, SC
Provider details
- NPI number
- 1952587644
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Edgar Peacock, President(803) 256-9268
- License
- 1545/OS161 (SC)
Specialties & taxonomies
Dental Providers
Practice location
2750 Laurel St
Suite 202
Columbia, SC 29204-2038
Phone: (803) 256-9268
Fax: (803) 256-0084
Approximate (ZIP-level) locationGet directions
Mailing address
2750 Laurel St
Columbia, SC 29204-2038
Registry dates
- Enumerated
- 2008-01-14
- Last updated
- 2008-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.