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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.