Healthcare Provider Details

I. General information

NPI: 1730979311
Provider Name (Legal Business Name): MARGARET ELEANOR PECK DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAGGIE E PECK

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20399 ROUTE 19 STE 110
CRANBERRY TOWNSHIP PA
16066-6138
US

IV. Provider business mailing address

20399 ROUTE 19 STE 110
CRANBERRY TOWNSHIP PA
16066-6138
US

V. Phone/Fax

Practice location:
  • Phone: 724-776-4088
  • Fax: 724-776-3955
Mailing address:
  • Phone: 724-776-4088
  • Fax: 724-776-3955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS045521
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: