National Provider Identifier Database

WANDA PUCKETT, DDS – NPI #1285734640
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

WANDA PUCKETT, DDS
2000 OPELOUSAS STREET
LAKE CHARLES, LA70601
Phone: 337-439-9983
Fax: 337-439-3224
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Dentist 122300000X

* Indicates primary specialty

NPI Profile & details for WANDA PUCKETT

NPI Number 1285734640
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/25/2006
Last updated 08/21/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 08746
  • LA License #: 6108
  • NY License #: 0366751
  • NY Medicaid: 00749308
Hospital affiliation n/a

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.

Reviews for WANDA PUCKETT, DDS

There are currently no reviews for WANDA PUCKETT, DDS


NPIdb - Home
v2.201