DR. Kenneth Alton Peavy, D.M.D. is a periodontics dentist in Winston Salem, NC. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Kenneth Alton Peavy, D.M.D. NPI is 1447394556. 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:
1400 WESTGATE CENTER DR
SUITE 204
WINSTON SALEM, NC
ZIP 27103-104
Phone: (336) 774-3001
Fax: (336) 774-9161
The NPI 1447394556 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).
The enumeration date for this NPI number is 2/20/2007 and was last updated on 7/8/2007.