| Puckett Family Dentistry | |
|
6181 Highway 18 Brandon MS 39042-0000 | |
| (601) 825-0559 | |
| Not Available |
| Full Name | Puckett Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6181 Highway 18, Brandon, Mississippi |
| Authorized Official Name and Position | Stephanie Tullos (DENTIST/OWNER) |
| Authorized Official Contact | 6018250559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puckett Family Dentistry 6181 Highway 18 Brandon MS 39042-0000 Ph: (601) 825-0559 | Puckett Family Dentistry 6181 Highway 18 Brandon MS 39042-0000 Ph: (601) 825-0559 |
| NPI Number | 1447410089 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447410089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 326503 (Mississippi) | Primary |
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