Organization
GEORGE SCOTT PURYEAR, DDS, PA
Active
Other names
Puryear & Jackson Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY DIANE BLAKE (OFFICE MANAGER)
(870) 238-3628
Entity
Organization
Contact information
Practice address
715 EAST ELDRDIGE AVENUE, WYNNE, AR 72396
(870) 238-3628
(870) 238-0757
Mailing address
P.O. BOX 368, WYNNE, AR 72396-0368
(870) 238-3628
(870) 238-0757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2218
AR
Other
Enumeration date
04/27/2007
Last updated
08/22/2020
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