Individual provider · Type 1 NPI

Wanda Puckett, DDS

General Practice Dentistry · Lake Charles, LA

NPI number 1285734640 Active

Practice location

2000 Opelousas Street
Lake Charles, LA 70601

Call (337) 439-9983 Map

Fax (337) 439-3224

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X0366751 (NY)
Dentist 122300000X08746 (CT)
General Practice Dentistry Primary 1223G0001X6108 (LA)

General Practice Dentistry: 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.

5 other providers at this address

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About NPI 1285734640

Wanda Puckett, DDS's National Provider Identifier is 1285734640, issued on Sep 25, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 21, 2013.