Individual
DR. WILLIAM LEE PANNECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1803 WOODSPRINGS RD, JONESBORO, AR 72401-0903
(870) 932-8488
(870) 932-5717
Mailing address
1203 WOOD CV, JONESBORO, AR 72401-5701
(870) 935-7958
(870) 932-5717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AR2423
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562235
BCBS-BLUE ADVANTAGE
AR
01
—
58820
BCBS - FEDERAL
AR
Enumeration date
11/09/2006
Last updated
07/08/2007
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