Puckett Dental LLC
NPI #1043694920 in Pocahontas, Arkansas
Provider Information
- NPI Number
- 1043694920
- Entity Type
- Organization
- Organization Name
- Puckett Dental LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PUCKETT DENTAL LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 10, 2015
- Last Updated
- Jul 10, 2015
Practice Location
- Address
- 1041 HIGHWAY 67 NORTH
- City
- Pocahontas
- State
- Arkansas
- ZIP Code
- 72455
- Phone
- (870) 236-5888
Authorized Official
- Name
- DR. JOHN HARTLEY PUCKETT, D.D.S.
- Title
- OWNER
- Phone
- (870) 236-5888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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