DR. EDGAR HAROLD PEACOCK JR. D.D.S.
NPI 1275536245
Dentist - Oral and Maxillofacial Surgery in Columbia, SC

Q: What is Edgar Peacock's NPI number?

The NPI number for Edgar Peacock is 1275536245. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Edgar Peacock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Peacock was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2005

2750 LAUREL ST, STE 202, COLUMBIA, SC 29204(803) 256-9268(803) 256-0084 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Edgar Harold Peacock Jr. D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDGAR HAROLD PEACOCK JR. D.D.S. (NPI 1275536245) is an individual oral and maxillofacial surgery provider in Columbia, South Carolina, licensed in South Carolina (1545) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1275536245

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. EDGAR HAROLD PEACOCK JR.Credential: D.D.S.

Location Address2750 LAUREL ST, STE 202Columbia, SC 29204-2024

Mailing Address2750 Laurel St, Ste 202Columbia, SC 29204-2024 · (803) 256-9268 · Fax (803) 256-0084

Phone(803) 256-9268

Fax(803) 256-0084

Sole ProprietorYes

Enumeration DateMay 24, 2005

Last NPPES UpdateMarch 19, 2013

✔ NPI 1275536245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in SC · 1545

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2750 LAUREL ST, Columbia, SC 29204

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Other Identifiers 3

Medicare UPINT24572SC

MedicaidZ15458SC

MedicaidZA9549SC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLUMBIA MEDICAL ASSOCIATES, P.A.

Internal Medicine

2750 LAUREL ST, SUITE 303
COLUMBIA, SC 29204

Richland County (803) 252-1953

PROVIDENCE PHYSICIAN PRACTICES, LLC

Physiological Laboratory

2750 LAUREL ST, SUITE 104
COLUMBIA, SC 29204

Richland County (803) 799-9035

DR. JOHN C HINDERSMAN MD

Ophthalmology

2750 LAUREL ST, SUITE 102
COLUMBIA, SC 29204

Richland County (803) 799-0585

PALMETTO GASTROENTEROLOGY, PA

Internal Medicine (Gastroenterology)

2750 LAUREL ST, STE 201
COLUMBIA, SC 29204

Richland County (803) 799-2219

FRAMPTON W HENDERSON JR. MD

Family Medicine

2750 LAUREL ST, 103
COLUMBIA, SC 29204

Richland County (803) 254-5171

THEODORE W LAW IV MD

Family Medicine

2750 LAUREL ST, 103
COLUMBIA, SC 29204

Richland County (803) 254-5171

PROVIDENCE HEALTH NETWORK LLC

Radiology (Diagnostic Radiology)

2750 LAUREL ST, SUITE 104
COLUMBIA, SC 29204

Richland County (803) 799-9035

JAROSLAW M AMBROZIAK MD

Family Medicine

2750 LAUREL ST, 103
COLUMBIA, SC 29204

Richland County (803) 254-5171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar Peacock's NPI number?

The NPI number for Edgar Peacock is 1275536245. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Edgar Peacock located?

Edgar Peacock practices at 2750 Laurel St Ste 202, Columbia, SC 29204. The listed phone number is (803) 256-9268.

What is Edgar Peacock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Edgar Peacock was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.