Individual
DR. GEORGE SCOTT PURYEAR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
715 E. ELDRIDGE AVE, WYNNE, AR 72396
(870) 238-3628
(870) 238-0757
Mailing address
715 ELDRIDGE AVE E, 715 E. ELDRIDGE AVE, WYNNE, AR 72396-4032
(870) 238-3628
(870) 238-0757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2218
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102044608
—
AR
01
—
3101742
TNBCBS
AR
01
—
58710
ARBCBS
AR
01
—
842108
UNITED CONCORDIA
AR
Enumeration date
11/09/2006
Last updated
10/12/2016
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