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JASON J PEACOCK DDS MS PLLC NPI 1912312190


NPI Information

NPI: 1912312190
Provider Name: JASON J PEACOCK DDS, MS, PLLC

Doing Business As: RIVERVIEW DENTAL ASSOCIATES

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
6 LOUDON RD
SUITE 202
CONCORD, NH
ZIP 03301
Phone: (603) 228-1066
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JASON J PEACOCK DDS, MS, PLLC is a prosthodontics dentist in Concord, NH. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. JASON J PEACOCK DDS, MS, PLLC NPI is 1912312190. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Riverview Dental Associates.

The provider's business location address is:

6 LOUDON RD
SUITE 202
CONCORD, NH
ZIP 03301-345
Phone: (603) 228-1066
Fax: (603) 228-5305

The provider's authorized official is Jason J Peacock .
The authorized official title is Dentist/owner and has the following contact phone number (603) 228-1066.

The enumeration date for this NPI number is 6/25/2014 and was last updated on 6/25/2014.


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
1122300000XDentist03968NEW HAMPSHIRENo
21223P0700XDentistProsthodontics03968NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13081496MEDICAIDNEW HAMPSHIRE

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

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