Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PUCKETT DENTAL LLC
Active
Organization
PUCKETT DENTAL LLC
Active
Other names
Ridge Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HARTLEY PUCKETT D.D.S. (OWNER)
(870) 236-5888
Entity
Organization
Contact information
Practice address
624 W COURT ST, SUITE A, PARAGOULD, AR 72450-4247
(870) 236-5888
(870) 236-6888
Mailing address
PO BOX 1209, PARAGOULD, AR 72451-1209
(870) 236-5888
(870) 236-6888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3406
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176117631
—
AR
Enumeration date
06/03/2009
Last updated
03/17/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers