Organization
PUCKETT DENTAL LLC
Active
Other names
Ridge Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HARTLEY PUCKETT D.D.S. (OWNER)
(870) 236-5888
Entity
Organization
Contact information
Practice address
624 W COURT ST, SUITE A, PARAGOULD, AR 72450-4247
(870) 236-5888
(870) 236-6888
Mailing address
PO BOX 1209, PARAGOULD, AR 72451-1209
(870) 236-5888
(870) 236-6888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3406
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176117631
—
AR
Enumeration date
06/03/2009
Last updated
03/17/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us