Puckett Family Dentistry in Brandon - Dentist

Puckett Family Dentistry - NPI 1447410089

Puckett Family Dentistry is a Dentist in Brandon, Mississippi. Puckett Family Dentistry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Puckett Family Dentistry is 1447410089. The last update date is 2008-06-16.

Puckett Family Dentistry's current location address is 6181 Highway 18, Brandon, Mississippi. You can contact this provider via phone number 6018250559. The mailing address for Puckett Family Dentistry is 6181 Highway 18, Brandon, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Puckett Family Dentistry
Address 6181 Highway 18, Brandon, Mississippi
Phone Number 6018250559
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST/OW
Authorized Official Name Tullos Stephanie
Credentials DMD
Telephone Number 6018250559

NPI Number Detail

NPI Number 1447410089
Provider Enumeration Date 2008-06-16
Last Updated Date 2008-06-16

Provider Mailing Address Detail

Address 6181 Highway 18
City Brandon
State Mississippi (MS)
Post Code 390420000
Phone Number 6018250559
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 326503
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Puckett Family Dentistry

What is the unique identifier code issued to Puckett Family Dentistry by the Centers for Medicare & Medicaid Services?

The Puckett Family Dentistry has been assigned the NPI (National Provider Identifier) 1447410089. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Puckett Family Dentistry's physical address?

The Puckett Family Dentistry is physically located at 6181 Highway 18, in the city of Brandon, MS, with the postal code 390420000.

What is Puckett Family Dentistry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Puckett Family Dentistry is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

When did Puckett Family Dentistry receive its 1447410089 assignment?

The Puckett Family Dentistry was assigned its 1447410089 on 2008-06-16, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Puckett Family Dentistry last refreshed?

The information related to the Puckett Family Dentistry, including its address, specialty, and other relevant details, was last updated on 2008-06-16.

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