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Organization
JASON J PEACOCK DDS, MS, PLLC
Active
Organization
JASON J PEACOCK DDS, MS, PLLC
Active
Other names
Riverview Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JASON J PEACOCK DDS, MS (DENTIST/OWNER)
(603) 228-1066
Entity
Organization
Contact information
Practice address
6 LOUDON RD, SUITE 202, CONCORD, NH 03301-5345
(603) 228-1066
(603) 228-5305
Mailing address
6 LOUDON RD, SUITE 202, CONCORD, NH 03301-5345
(603) 228-1066
(603) 228-5305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
03968
NH
1223P0700X
Prosthodontics
Primary
03968
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3081496
—
NH
Enumeration date
06/25/2014
Last updated
06/25/2014
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