CLYDE DOUGLAS PEEDIN JR. DDS
NPI 1700996816
Dentist in Roanoke Rapids, NC

Q: What is Clyde Peedin's NPI number?

The NPI number for Clyde Peedin is 1700996816. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Clyde Peedin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Clyde Peedin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 30, 2006

110 PROFESSIONAL DR, ROANOKE RAPIDS, NC 27820(252) 537-0438(252) 537-0430 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Clyde Douglas Peedin Jr. Dds NPPES

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

CLYDE DOUGLAS PEEDIN JR. DDS (NPI 1700996816) is an individual dentist in Roanoke Rapids, North Carolina, licensed in North Carolina (4676) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1700996816

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameCLYDE DOUGLAS PEEDIN JR.Credential: DDS

Location Address110 PROFESSIONAL DRRoanoke Rapids, NC 27820

Mailing Address110 Professional DrRoanoke Rapids, NC 27820 · (252) 537-0438 · Fax (252) 537-0430

Phone(252) 537-0438

Fax(252) 537-0430

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700996816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NC · 4676

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

110 PROFESSIONAL DR, Roanoke Rapids, NC 27820

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Other Identifiers 1

Medicaid8996771NC

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 Clyde Peedin's NPI number?

The NPI number for Clyde Peedin is 1700996816. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Clyde Peedin located?

Clyde Peedin practices at 110 Professional Dr, Roanoke Rapids, NC 27820. The listed phone number is (252) 537-0438.

What is Clyde Peedin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Clyde Peedin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.