John H. Puckett in Pargould - General Practice
John H. Puckett - NPI 1013993492
John H. Puckett is a General Practice in Pargould, Arkansas. John H. Puckett practices all healthcare services and medical treatments related to General Practice. The NPI Number for John H. Puckett is 1013993492. The last update date is 2009-06-03.
John H. Puckett's current location address is 624 W. Court St., Pargould, Arkansas. You can contact this provider via phone number 8702365888 and fax number 8702366888. The mailing address for John H. Puckett is 624 W. Court St., Pargould, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John H. Puckett |
|---|---|
| Address | 624 W. Court St., Pargould, Arkansas |
| Phone Number | 8702365888 |
| Fax Number | 8702366888 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1013993492 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2009-06-03 |
Provider Mailing Address Detail
| Address | 624 W. Court St. |
|---|---|
| City | Pargould |
| State | Arkansas (AR) |
| Post Code | 724504247 |
| Phone Number | 8702365888 |
| Fax Number | 8702366888 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8147 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3206528 | TN | -- | |
| 176096608 | AR | -- |
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What is the unique 10-digit identifier code issued to John H. Puckett by the Centers for Medicare & Medicaid Services?
The John H. Puckett has been assigned the NPI (National Provider Identifier) 1013993492 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John H. Puckett is physically located?
The John H. Puckett is physically situated at the following address: 624 W. Court St., Pargould, AR, 724504247.
What is the John H. Puckett's specialty and taxonomy code?
The John H. Puckett's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the John H. Puckett receive the assignment of its 1013993492 from the Centers for Medicare & Medicaid Services?
The John H. Puckett was issued its 1013993492 by the Centers for Medicare & Medicaid Services on 2005-12-19.
When was the information regarding John H. Puckett most recently updated?
The details pertaining to the John H. Puckett, including its address, specialty, and other relevant information, were last refreshed on 2009-06-03.