Individual
BILLY PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8498 SOUTH HOUSTON SAM HOUSTON PARKWAY, 600, HOUSTON, TX 77075
(281) 799-4467
Mailing address
6081 TRENT CT, LEAGUE CITY, TX 77573-6539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0024677
TX
Other
Enumeration date
06/06/2009
Last updated
05/15/2012
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