Puckett, Scott A.

Puckett, Scott A. is an sole proprietor health care provider with primary practice located at 1665 Alex Dr , Wilmington OH 45177. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Puckett, Scott A. can be contacted via phone (937) 382-8020.

Contact Information

Primary practice address
1665 Alex Dr Wilmington OH 45177
Fax: (937) 382-8020
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30-021139 Ohio
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 30-021139 Ohio

Profile Details

NPI number 1215998851
LBN Legal business name Puckett, Scott A.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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