DR. Gregory S Puckett, DMD

NPI #1790965374 in Vine Grove, Kentucky

Provider Information

NPI Number: 1790965374
Entity Type: Individual
Name: DR. Gregory S Puckett, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 12, 2007
Last Updated: Jan 14, 2010

Practice Location

Address: 517 HIGHLAND AVE.
City: Vine Grove
State: Kentucky
ZIP Code: 40175-1461
Phone: (270) 877-5553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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