Wanda Puckett is a Lake Charles, Louisiana based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Wanda Puckett is
6108 for General Practice Dentistry in Louisiana. Her current practice location is
2000 Opelousas Street, Lake Charles. Patients can reach her at
337-439-9983.
Wanda Puckett is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Wanda Puckett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Wanda Puckett |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2000 Opelousas Street, Lake Charles,
Louisiana, 70601 |
| Phone: | 337-439-9983 |
| Fax: | 337-439-3224 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1285734640 |
| NPI Enumeration Date: | 25 Sep, 2006 |
| NPI Last Update On: | 21 Aug, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wanda Puckett are as mentioned below.
| License Number | Specialization | State | Status | |
| 6108 | General Practice Dentistry | Louisiana | Primary | |
| 0366751 | Dentistry | New York | Secondary | |
| 08746 | Dentistry | Connecticut | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Wanda Puckett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00749308 | Medicaid | New York | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2000 Opelousas Street,
Lake Charles, Louisiana |
| Zip: | 70601 |
| Phone Number: | 337-439-9983 |
| Fax Number: | 337-439-3224 |
Patients can reach Wanda Puckett at
2000 Opelousas Street, Lake Charles, Louisiana or can
call to book an appointment on 337-439-9983.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.