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Contact Information

JASON J PEACOCK, DDS
6 LOUDON RD
#202
CONCORD, NH03301-5345
 Phone: 603-228-1066
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for JASON J PEACOCK · (Male)

NPI Number 1962665976
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/09/2008
Last updated 03/12/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # DE 00011243
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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