Wanda Puckett in Lake Charles - General Practice
Wanda Puckett - NPI 1285734640
Wanda Puckett is a General Practice in Lake Charles, Louisiana. Wanda Puckett practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wanda Puckett is 1285734640. The last update date is 2013-08-21.
Wanda Puckett's current location address is 2000 Opelousas Street, Lake Charles, Louisiana. You can contact this provider via phone number 3374399983 and fax number 3374393224. The mailing address for Wanda Puckett is 2000 Opelousas Street, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Wanda Puckett |
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Address | 2000 Opelousas Street, Lake Charles, Louisiana |
Phone Number | 3374399983 |
Fax Number | 3374393224 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1285734640 |
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Provider Enumeration Date | 2006-09-25 |
Last Updated Date | 2013-08-21 |
Provider Mailing Address Detail
Address | 2000 Opelousas Street |
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City | Lake Charles |
State | Louisiana (LA) |
Post Code | 70601 |
Phone Number | 3374399983 |
Fax Number | 3374393224 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 6108 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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749308 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wanda Puckett by the Centers for Medicare & Medicaid Services (CMS)?
The Wanda Puckett has been assigned the NPI (National Provider Identifier) 1285734640. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Wanda Puckett's physical address?
The Wanda Puckett is physically located at 2000 Opelousas Street, in the city of Lake Charles, LA, with the postal code 70601.
What is the Wanda Puckett's area of specialization and corresponding taxonomy classification?
The Wanda Puckett's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1285734640 to Wanda Puckett?
The Wanda Puckett received its 1285734640 assignment from the Centers for Medicare & Medicaid Services on 2006-09-25.
When was the information pertaining to Wanda Puckett most recently updated or revised?
The details related to Wanda Puckett, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-21.