1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Dentist
  6. NPI Profile

EDGAR H PEACOCK, JR, DDS, PA
NPI 1952587644
Dentist - Oral and Maxillofacial Surgery in Columbia, SC

Active since January 14, 2008
2750 LAUREL ST, SUITE 202, COLUMBIA, SC 29204(803) 256-9268(803) 256-0084 Get Directions Write a Review

NPPES record last updated: January 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgar H Peacock, Jr, Dds, Pa NPPES

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

EDGAR H PEACOCK, JR, DDS, PA (NPI 1952587644) is a healthcare organization registered as an oral and maxillofacial surgery in Columbia, South Carolina and active in the NPI registry since January 2008. The organization lists Edgar Harold Peacock, President, as its authorized official.

NPPES Registry Identity

NPI1952587644
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEDGAR H PEACOCK, JR, DDS, PA
Location Address2750 LAUREL ST, SUITE 202Columbia, SC 29204-2038
Mailing Address2750 Laurel St, Suite 202Columbia, SC 29204-2038 · (803) 256-9268 · Fax (803) 256-0084
Phone(803) 256-9268
Fax(803) 256-0084
Organization SubpartNo
Authorized OfficialEdgar Harold PeacockPresident · (803) 256-9268
Enumeration DateJanuary 14, 2008
✔ NPI 1952587644 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/OS161
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
Open in Google Maps ↗

Other Identifiers 3

MedicaidZ15458SC
Medicare UPINT24572SC
MedicaidZA9549SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. EDGAR HAROLD PEACOCK JR. D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2750 LAUREL ST, STE 202
COLUMBIA, SC 29204
Richland County (803) 256-9268
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

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 H Peacock, Jr, Dds, PA's NPI number?

The NPI number for Edgar H Peacock, Jr, Dds, PA is 1952587644. It was assigned to this organization in the NPPES registry on January 14, 2008.

Where is Edgar H Peacock, Jr, Dds, PA located?

Edgar H Peacock, Jr, Dds, PA is located at 2750 Laurel St Suite 202, Columbia, SC 29204. The listed phone number is (803) 256-9268.

What is Edgar H Peacock, Jr, Dds, PA'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 H Peacock, Jr, Dds, PA was last updated on January 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.