DR. RONALD THOMAS PEACOCK


Address: 3634 Wheeler Rd, Augusta, GA 30909-6518
Phone: 7068608228

DR. RONALD THOMAS PEACOCK (NPI# 1205022779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205022779
Entity Type Individual
Full Name DR. RONALD THOMAS PEACOCK
Credential D.D.S.
Practice Address 3634 Wheeler Rd
Augusta
GA 30909-6518
Practice Telephone 7068608228
Practice Fax Number 7068607222
Mailing Telephone 7068608228
Mailing Fax Number 7068607222
Enumeration Date 2007-09-19
Last Update Date 2007-09-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
GA007367 GA Dental Providers

Other Providers RONALD PEACOCK

NPI Name Taxonomy Address Enumeration
1285656140 Ronald Everett Peacock Anesthesiology 1005 4th St, Lacon, IL 61540-1519 2006-07-23
1396228441 Ronald David Peacock Jr. Physical Therapist 580 N Camino Mercado # 26, Casa Grande, AZ 85122-5757 2018-09-13

Office Location

Street Address 3634 WHEELER RD
City AUGUSTA
State GA
Zip Code 30909-6518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548205636 Drs. Peacock & Rafoth, P.C. Dentist 3634 Wheeler Rd, Augusta, GA 30909-6518 2006-06-20
1538571435 Oral Surgery of West Augusta PC Oral & Maxillofacial Surgery 3634 Wheeler Rd, Augusta, GA 30909-6518 2014-05-27
1659567121 Robert F Rafoth Dentist 3634 Wheeler Rd, Augusta, GA 30909-6518 2007-09-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513888 Lauran Simpson Behavior Technician 1237 Augusta West Parkway, Augusta, GA 30909 2020-09-16
1487273884 Still Perspectives Counseling LLC Counselor 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 2020-04-15
1598397838 Mjra Medical LLC Psychologist 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 2020-02-05
1003452319 Danny Robinson Counselor 2609 Commons Boulevard, Augusta, GA 30909 2019-11-21
1407498637 Candice M Cruse Social Worker 2609 Commons Blvd, Augusta, GA 30909 2019-10-09
1902363385 Mary D Jodon Pharmacist 3338 Wrightsboro Rd., Augusta, GA 30909 2019-02-21
1447790514 Burn Critical Care Associates, LLC Internal Medicine 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 2017-03-08
1124561766 Sasha Latara Mccraw Counselor 7303 Palomino Court, Augusta, GA 30909 2016-11-30
1174974620 Warren Umansky, Ph.d. Psychologist 302 Wheeler Executive Ctr, Augusta, GA 30909 2016-06-27
1811358955 Theodora Mcleskey Nurse Practitioner 1215 George C. Wilson Drive, Augusta, GA 30909 2016-03-17
Find all providers in zip 30909

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558795930 Terry R. Ellis, Dmd, PC Dentist 1244 Augusta West Pkwy, Augusta, GA 30909-1854 2013-08-21
1831455732 Rebecca Lynne Paquin Dentist Mcg Department of Otolaryngology-head and Neck Surgery, 1120 15th Street, Suite Bp 4109, Augusta, GA 30912 2012-04-04
1487883815 Sara Khaled Akeel Dentist 705 Saint Andrews Drive, Augusta, GA 30909 2009-07-07
1407070006 Facial and Oral Surgery Associates Dentist 5 Community Dr, Augusta, ME 04330-8087 2007-04-13
1790715142 R. Robert Berube Dentist Facial & Oral Surgery Associates, Pa, 5 Community Drive, Augusta, ME 04330 2006-07-03
1093744294 Edwin Douglas Joy Jr. Dentist 1222 George C Wilson Dr, Augusta, GA 30909-4502 2006-07-01
1548205636 Drs. Peacock & Rafoth, P.C. Dentist 3634 Wheeler Rd, Augusta, GA 30909-6518 2006-06-20
1790724763 Samuel Christopher D'arco Dentist 3736 Walton Way Ext, Augusta, GA 30907-2402 2006-06-05
1255307831 Terry Randal Ellis Dentist 1244 Augusta West Parkway, Augusta, GA 30909 2006-02-24
1275195984 Anh Nguyen Dentist 1430 John Wesley Gilbert Drive, Augusta, GA 30912-5042 2019-07-02
Find all providers in AUGUSTA

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City AUGUSTA
Zip Code 30909

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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