| L.g. Puckett D.d.s. | |
|
508 N Church St Livingston TN 38570-1539 | |
| (931) 823-3754 | |
| (931) 823-3739 |
| Full Name | L.g. Puckett D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 508 N Church St, Livingston, Tennessee |
| Authorized Official Name and Position | Luther G Puckett (DENTIST) |
| Authorized Official Contact | 9318233754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L.g. Puckett D.d.s. 508 N Church St Livingston TN 38570-1539 Ph: (931) 823-3754 | L.g. Puckett D.d.s. 508 N Church St Livingston TN 38570-1539 Ph: (931) 823-3754 |
| NPI Number | 1477859130 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477859130 | NPI | - | NPPES |
| 5440979 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8548 (Tennessee) | Primary |
Upper Cumberland Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Oak St, Livingston, TN 38570 Phone: 931-823-5517 Fax: 931-823-3852 |