Puckett Dental LLC

NPI #1669608741 in Paragould, Arkansas

Provider Information

NPI Number: 1669608741
Entity Type: Organization
Organization Name: Puckett Dental LLC
Primary Specialty: Dentist
Enumeration Date: Jun 3, 2009
Last Updated: Mar 17, 2015

Practice Location

Address: 624 W COURT ST
Address 2: SUITE A
City: Paragould
State: Arkansas
ZIP Code: 72450-4247
Phone: (870) 236-5888

Authorized Official

Name: DR. JOHN HARTLEY PUCKETT, D.D.S.
Title: OWNER
Phone: (870) 236-5888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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