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Contact Information

GEORGE S PURYEAR JR, DDS
715 E. ELDRIDGE AVE
WYNNE, AR72396
 Phone: 870-238-3628
 Fax: 870-238-0757
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GEORGE S PURYEAR JR · (Male)

NPI # 1073683827
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/09/2006
Last updated 10/12/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 2218
  • AR Medicaid 102044608
  • AR Other 58710 ARBCBS
  • AR Other 3101742 TNBCBS
  • AR Other 842108 UNITED CONCORDIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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