Puryear, George Scott

Puryear, George Scott is an sole proprietor health care provider with primary practice located at 715 E. Eldridge Ave , Wynne AR 72396. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Puryear, George Scott can be contacted via phone (870) 238-3628.

Contact Information

Primary practice address
715 E. Eldridge Ave Wynne AR 72396
Fax: (870) 238-0757
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2218 Arkansas

Profile Details

NPI number 1073683827
LBN Legal business name Puryear, George Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Oct 12th, 2016 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073683827 NPPES
Arkansas MEDICAID 102044608
Arkansas Other 58710
Arkansas Other 3101742
Arkansas Other 842108

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