Dennis Blake Pulliam in Walnut Ridge - General Practice

Dennis Blake Pulliam - NPI 1093937922

Dennis Blake Pulliam is a General Practice in Walnut Ridge, Arkansas. Dennis Blake Pulliam practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dennis Blake Pulliam is 1093937922. The last update date is 2007-07-08.

Dennis Blake Pulliam's current location address is 413 Southwest Third, Walnut Ridge, Arkansas. You can contact this provider via phone number 8708866761 and fax number 8708866762. The mailing address for Dennis Blake Pulliam is 413 Southwest Third, Walnut Ridge, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Dennis Blake Pulliam
Address 413 Southwest Third, Walnut Ridge, Arkansas
Phone Number 8708866761
Fax Number 8708866762
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1093937922
Provider Enumeration Date 2007-05-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 413 Southwest Third
City Walnut Ridge
State Arkansas (AR)
Post Code 72476
Phone Number 8708866761
Fax Number 8708866762

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2134
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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FAQs about Dennis Blake Pulliam

What is the unique provider identifier assigned to Dennis Blake Pulliam?

The Dennis Blake Pulliam has been issued the NPI (National Provider Identifier) 1093937922 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Dennis Blake Pulliam's facilities are situated?

The facilities of Dennis Blake Pulliam are physically located at the following address: 413 Southwest Third, Walnut Ridge, AR, 72476.

What is Dennis Blake Pulliam's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dennis Blake Pulliam is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did Dennis Blake Pulliam receive its 1093937922 assignment from the Centers for Medicare & Medicaid Services?

The Dennis Blake Pulliam was assigned its 1093937922 on 2007-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Dennis Blake Pulliam last refreshed?

The information related to the Dennis Blake Pulliam, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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