Thomas Lowell Peacock, DDS

General Practice Dentistry · Addison, IL

Individual Active NPI

NPI number 1083832828

Practice location

96 W Moreland Ave
Suite 21
Addison, IL 60101-3867
Phone
(630) 628-1322

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NPI record

NPI
1083832828
Entity type
Individual (Type 1)
Enumeration date
April 24, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 19A14132 IL

About Dr. Peacock

Thomas Lowell Peacock, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 96 W Moreland Ave, Suite 21, Addison, IL 60101-3867. The NPI number 1083832828 was assigned on April 24, 2007 and the record was last updated on July 8, 2007.

Dr. Peacock lists a license in the registry: #19A14132 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Lowell Peacock, DDS?

The NPI number is 1083832828.

What is the phone number of Dr. Peacock?

The phone number listed for the practice location is (630) 628-1322.

Where is Dr. Peacock located?

96 W Moreland Ave, Suite 21, Addison, IL 60101-3867.

What is the taxonomy code for Dr. Peacock?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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