Individual
DR. WILLIAM ALAN PUCKETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1408 PETERMAN DR, ALEXANDRIA, LA 71301-3432
(318) 427-9220
(318) 442-1811
Mailing address
1408 PETERMAN DR, ALEXANDRIA, LA 71301-3432
(318) 427-9220
(318) 442-1811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5978
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1859788
—
LA
Enumeration date
06/10/2009
Last updated
04/03/2013
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