Pugh, Jack Y

Pugh, Jack Y is an individual health care provider with primary practice located at 442 Glover Ave , Enterprise AL 36330. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pugh, Jack Y can be contacted via phone (334) 347-6456.

Contact Information

Primary practice address
442 Glover Ave Enterprise AL 36330
Phone: (334) 347-6456
Fax: (334) 393-3817
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2582 C.S. Alabama

Profile Details

NPI number 1942327838
LBN Legal business name Pugh, Jack Y
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942327838 NPPES
Alabama Other 515-34127 BLUE CROSS BLUE SHIELD

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