George Scott Puryear, Dds, Pa

NPI 1053531319 - Dentist - 122300000X

NPI Details
NPI 1053531319
Enumeration Date 04/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIFFANY DIANE TIFFANY
Position OFFICE MANAGER
Phone (870) 238-3628
Fax (870) 238-0757
Practice Location
715 EAST ELDRDIGE AVENUE
WYNNE AR, 72396, US
Phone (870) 238-3628
Fax (870) 238-0757
Business Location
P.O. BOX 368
WYNNE AR, 72396-0368, US
Phone (870) 238-3628
Fax (870) 238-0757
Toxanomy
Taxonomy Code 122300000X
License State Arkansas
License Number 2218
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According to our database, George Scott Puryear, Dds, Pa NPI is 1053531319, taxonomy code is 122300000X and license number is 2218, license state is located at Arkansas. George Scott Puryear, Dds, Pa physically located at 715 East Eldrdige Avenue, Wynne AR, 72396. NPI Number 1033115704 has the healthcare provider type.

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1053531319 NPI number is provided on an as is basis without warranty of any kind. 1053531319 is maintained by the National Plan & Provider Enumeration System. The contents of George Scott Puryear, Dds, Pa are for informational purposes only.