IndividualActive
Jason Peacock, D.D.S.
NPI 1962665976 · Prosthodontics · Concord, NH
Provider details
- NPI number
- 1962665976
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE 00011243 (WA)
Specialties & taxonomies
Dental Providers
Practice location
6 Loudon Rd
#202
Concord, NH 03301-5345
Phone: (603) 228-1066
Approximate (ZIP-level) locationGet directions
Mailing address
6 Loudon Rd
Concord, NH 03301-5345
Registry dates
- Enumerated
- 2008-07-09
- Last updated
- 2013-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.