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Individual

DR. JOSHUA P PUCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2130 N. JACKSON ST, TULLAHOMA, TN 37388
(931) 222-4222
(931) 222-4223
Mailing address
2130 N. JACKSON ST, TULLAHOMA, TN 37388
(931) 222-4222
(931) 222-4223

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
5697
AL
1223E0200X
Endodontics
Primary
9620
TN

Other

Enumeration date
07/24/2009
Last updated
01/25/2019
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