Individual
DR. DAVID J PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1133 JACKSON, SIDNEY, NE 69162
(308) 254-2065
(308) 254-2731
Mailing address
2658 EL RANCHO RD, SIDNEY, NE 69162
(308) 254-0126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6113
NE
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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