Organization
PUCKETT DENTAL LLC
Active
Parent organization
PUCKETT DENTAL LLC
Other names
Pocahontas Smiles
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUCKETT DENTAL LLC
Authorized official
DR. JOHN HARTLEY PUCKETT D.D.S. (OWNER)
(870) 236-5888
Entity
Organization
Contact information
Practice address
1041 HIGHWAY 67 NORTH, POCAHONTAS, AR 72455
(870) 236-5888
Mailing address
1041HWY. 67 N., POCAHONTAS, AR 72455
(870) 236-5888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3406
AR
261QD0000X
Dental Clinic/Center
3684
AR
261QD0000X
Dental Clinic/Center
4053
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669608741
—
MO
05
—
176096608
—
AR
Enumeration date
07/10/2015
Last updated
07/10/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us