| Puryear Jackson Family Dentistry | |
|
715 Eldridge Ave E Wynne AR 72396-4032 | |
| (870) 238-3628 | |
| (870) 238-0757 |
| Full Name | Puryear Jackson Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 715 Eldridge Ave E, Wynne, Arkansas |
| Authorized Official Name and Position | Tiffany Diane Cathey (OFFICE MANAGER) |
| Authorized Official Contact | 8702383628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puryear Jackson Family Dentistry P.o. Box 368 715 East Eldridge Avenue Wynne AR 72396 Ph: (870) 238-3628 | Puryear Jackson Family Dentistry 715 Eldridge Ave E Wynne AR 72396-4032 Ph: (870) 238-3628 |
| NPI Number | 1285968776 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 09/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285968776 | NPI | - | NPPES |
| 159065608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3520 (Arkansas) | Primary |
Puryear & Jackson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 East Eldrdige Avenue, Wynne, AR 72396 Phone: 870-238-3628 Fax: 870-238-0757 | |
Ricky L Price Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Merriman Ave E, Wynne, AR 72396 Phone: 870-238-9190 | |
Southern Dental Group, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Killough Rd N, Wynne, AR 72396 Phone: 870-243-4406 | |
Sutton Puryear Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Eldridge Ave E, Wynne, AR 72396 Phone: 870-238-3628 Fax: 870-238-0757 | |
Mary Ann Weatherford Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Julia Ave E, Wynne, AR 72396 Phone: 870-238-2600 Fax: 870-238-5522 | |
Robert W Bassham Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 669 Addison Dr, Wynne, AR 72396 Phone: 870-238-7570 Fax: 870-238-1208 |