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Deactivated NPI 1669597449 Deactivated / Inactive NPI Male Practitioner

Dr. John Milton Peacock , DDS

Dentist - General Practice • Baytown, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Peacock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 20, 2007
NPI Deactivation Date May 09, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. John Peacock, DDS was a registered Dentist - General Practice practicing in Baytown, TX. Throughout an active medical career spanning 10 years, Dr. Peacock provided care at the practice location at 6644 GARTH RD until profile deactivation on 2017-05-09.

Practice Location & Contact Primary Location

Practice Address

6644 Garth Rd

Baytown, TX 775218623

Telephone 2818390532
Fax 2814219720
Associated Practice Facility / Clinic
🏢 Brident Dds Pc Facility NPI 1548991862

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Baytown, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
33 Specialists

Practicing in Baytown, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 9105

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Ronnie Andress

Dentist - General Practice

NPI 1225259252
NPI 1255684999

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 09, 2017

Record deactivated on May 09, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6644 GARTH RD, BAYTOWN, TX 775218623 (Tel: 2818390532)

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Updated Business Mailing Address July 08, 2007

Registered at 4635 SOUTHWEST FWY, SUITE 700, HOUSTON, TX 770277169 (Tel: 7138770697)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN PEACOCK, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9105 in TX)

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Initial NPI Registration & Enumeration March 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669597449
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2007
Last Update: July 08, 2007
Deactivation Date: May 09, 2017

Mailing Address

4635 Southwest Fwy, Suite 700

Houston, TX 770277169

Phone: 7138770697

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.