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STEPHANIE PEACOCK
NPI 1417524539
Dentist - General Practice in La Mesa, CA

Active since June 08, 2021
8530 LA MESA BLVD, UNIT 204, LA MESA, CA 91942(619) 494-2492 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2023, Jun 8, 2021 (2 updates tracked since 2021).

About Stephanie Peacock NPPES

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

STEPHANIE PEACOCK (NPI 1417524539) is an individual general practice provider in La Mesa, California, licensed in California (108449) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1417524539
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSTEPHANIE PEACOCK
Location Address8530 LA MESA BLVD, UNIT 204La Mesa, CA 91942
Mailing Address325 W Washington, Suite 2 #3072San Diego, CA 92103-1946 · (424) 282-9707
Phone(619) 494-2492
Sole ProprietorNo
Enumeration DateJune 8, 2021
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1417524539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 108449
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8530 LA MESA BLVD, La Mesa, CA 91942
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Other Providers at the Same Location NPPES 2

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

ELIZABETH PENELOPE JACOBO LCSW
Social Worker (Clinical)
8530 LA MESA BLVD, SUITE 202
LA MESA, CA 91942
San Diego County (323) 798-7413
SAN DIEGO DENTAL SLEEP THERAPY, LLC
Durable Medical Equipment & Medical Supplies
8530 LA MESA BLVD, SUITE 204
LA MESA, CA 91942
San Diego County (619) 460-0714

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 Stephanie Peacock's NPI number?

The NPI number for Stephanie Peacock is 1417524539. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Stephanie Peacock located?

Stephanie Peacock practices at 8530 La Mesa Blvd Unit 204, La Mesa, CA 91942. The listed phone number is (619) 494-2492.

What is Stephanie Peacock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Stephanie Peacock was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.