Individual provider · Type 1 NPI

Abigail Puckett

Dentist · Maywood, IL

NPI number 1952240863 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (888) 584-7888 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X018012564 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1952240863

Abigail Puckett's National Provider Identifier is 1952240863, issued on Mar 26, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Maywood, IL. The record was last updated on Jul 5, 2026.