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Wanda Puckett, DDS
General Practice Dentistry in Lake Charles, Louisiana
NPI 1285734640

Wanda Puckett is a General Practice Dentistry based in Lake Charles, LA and is specialized in General Practice. Wanda Puckett practices in Lake Charles, LA and has the professional credentials of DDS. The NPI Number for Wanda Puckett is 1285734640 and holds a License No. 0366751 (Louisiana).

The current practice location address for Wanda Puckett is 2000 Opelousas Street, Lake Charles, LA and can be reached out via phone at 337-439-9983 and via fax at 337-439-3224.

Location: 2000 Opelousas Street, Lake Charles, LA, 70601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285734640
Provider Name
Wanda Puckett
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2000 Opelousas Street, Lake Charles, LA, 70601
Phone Number
337-439-9983
Fax Number
337-439-3224
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00749308 05 NY
institution
Provider Business Practice Location Address Details
Address
2000 Opelousas Street
City
Lake Charles
State
Louisiana
Zip
70601
Phone Number
337-439-9983
Fax Number
337-439-3224
person
Provider Business Mailing Address Details
Address
2000 Opelousas Street
City
Lake Charles
State
Louisiana
Zip
70601
Phone Number
337-439-9983
Fax Number
337-439-3224
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
08746 (Connecticut)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0366751 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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