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PURYEAR JACKSON FAMILY DENTISTRY
NPI 1285968776
Dentist - General Practice in Wynne, AR

Active since September 30, 2009
715 ELDRIDGE AVE E, WYNNE, AR 72396(870) 238-3628(870) 238-0757 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Puryear Jackson Family Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURYEAR JACKSON FAMILY DENTISTRY (NPI 1285968776) is a healthcare organization registered as a general practice in Wynne, Arkansas and active in the NPI registry since September 2009. The organization lists Tiffany Diane Cathey, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1285968776
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNEALL JACKSON DDS PA
Location Address715 ELDRIDGE AVE EWynne, AR 72396-4032
Mailing AddressP.o. Box 368, 715 East Eldridge AvenueWynne, AR 72396 · (870) 238-3628 · Fax (870) 238-0757
Phone(870) 238-3628
Fax(870) 238-0757
Organization SubpartNo
Authorized OfficialTiffany Diane CatheyOffice Manager · (870) 238-3628
Enumeration DateSeptember 30, 2009
✔ NPI 1285968776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AR · 3520
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.
715 ELDRIDGE AVE E, Wynne, AR 72396
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Other Names 1

Doing Business AsPuryear Jackson Family Dentistry

Other Identifiers 1

Medicaid159065608AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB ALAN SUTTON DDS
Dentist
715 ELDRIDGE AVE E
WYNNE, AR 72396
Cross County (870) 238-3628
JACOB SUTTON, DDS, PA
Dentist (General Practice)
715 ELDRIDGE AVE E
WYNNE, AR 72396
Cross County (870) 238-3628

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neall Jackson Dds PA's NPI number?

The NPI number for Neall Jackson Dds PA is 1285968776. It was assigned to this organization in the NPPES registry on September 30, 2009. The provider is doing business as Puryear Jackson Family Dentistry.

Where is Neall Jackson Dds PA located?

Neall Jackson Dds PA is located at 715 Eldridge Ave E, Wynne, AR 72396. The listed phone number is (870) 238-3628.

What is Neall Jackson Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Neall Jackson Dds PA was last updated on September 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.