John H. Puckett D.D.S.

NPI 1013993492 - Dentist - 1223G0001X

NPI Details
NPI 1013993492
Gender Male
Enumeration Date 12/19/2005
Last Updated 06/03/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
624 W. COURT ST.
PARGOULD AR, 72450-4247, US
Phone (870) 236-5888
Fax (870) 236-6888
Business Location
PO BOX 1209
PARAGOULD AR, 72451-1209, US
Phone (865) 236-5888
Taxonomy Code 1223G0001X
License State Tennessee
License Number 8147
Remove 1013993492 NPI Number

According to our database, Dr. John H. Puckett D.D.S. NPI is 1013993492, taxonomy code is 1223G0001X and license number is 8147, license state is located at Tennessee. John H. Puckett D.D.S. physically located at 624 W. Court St., Pargould AR, 72450-4247. NPI Number John H. Puckett D.D.S. has the Individual type.

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1013993492 NPI number is provided on an as is basis without warranty of any kind. 1013993492 is maintained by the National Plan & Provider Enumeration System. The contents of John H. Puckett D.D.S. are for informational purposes only.