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Dr. Jack Y Pugh, DMD
General Practice Dentistry in Enterprise, Alabama
NPI 1942327838

Jack Y Pugh is a General Practice Dentistry based in Enterprise, AL and is specialized in General Practice. Jack Y Pugh practices in Enterprise, AL and has the professional credentials of DMD. The NPI Number for Jack Y Pugh is 1942327838 and holds a License No. 2582 C.S. (Alabama).

The current practice location address for Jack Y Pugh is 442 Glover Ave, Enterprise, AL and can be reached out via phone at 334-347-6456 and via fax at 334-393-3817. You can also correspond with Jack Y Pugh through the mailing address at PO BOX 311870, ENTERPRISE, AL - 36331-1870 (mailing address contact number: 334-347-6456).

Location: 442 Glover Ave, Enterprise, AL, 36331-1870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942327838
Provider Name
Jack Y Pugh
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
442 Glover Ave, Enterprise, AL, 36331-1870
Phone Number
334-347-6456
Fax Number
334-393-3817
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
515-34127 01 AL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
442 Glover Ave
City
Enterprise
State
Alabama
Zip
36330
Phone Number
334-347-6456
Fax Number
334-393-3817
person
Provider Business Mailing Address Details
Address
Po Box 311870
City
Enterprise
State
Alabama
Zip
36331-1870
Phone Number
334-347-6456
Fax Number
334-393-3817
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2582 C.S. (Alabama)
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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