DR. PHILLIP EDWARD PECK D.D.S. NPI 1275624058

NPI Information

NPI: 1275624058
Provider Name: DR. PHILLIP EDWARD PECK, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
10550 SEPULVEDA BLVD
SUITE 115
MISSION HILLS, CA
ZIP 91345
Phone: (818) 361-8669
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DR. Phillip Edward Peck, D.D.S. is a general practice dentist in Mission Hills, CA. The provider is 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. DR. Phillip Edward Peck, D.D.S. NPI is 1275624058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10550 SEPULVEDA BLVD
SUITE 115
MISSION HILLS, CA
ZIP 91345-934
Phone: (818) 361-8669
Fax: (818) 361-6684

The enumeration date for this NPI number is 9/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DG 20432	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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