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DR. ZACHARY SCOTT PEACOCK M.D. D.M.D. NPI 1457587065


NPI Information

NPI: 1457587065
Provider Name: DR. ZACHARY SCOTT PEACOCK, M.D., D.M.D.
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Organization: MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC

PECOS Registration: Yes

Address:
55 FRUIT STREET, WARREN 1201
BOSTON, MA
ZIP 02114
Phone: (617) 726-2740
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DR. Zachary Scott Peacock, M.D., D.M.D. is an oral maxillofacial surgery in Boston, MA with 17 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Zachary Scott Peacock, M.D., D.M.D. NPI is 1457587065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

55 FRUIT STREET, WARREN 1201
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-2740
Fax: (617) 726-6195

The NPI 1457587065 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray imaging of teeth (HCPCS:70355)

The enumeration date for this NPI number is 6/10/2009 and was last updated on 7/22/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryA106669CALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.