RIDGE KIDS DENTAL
NPI 1669608741
Dentist in Paragould, AR

Q: What is Puckett Dental LLC's NPI number?

The NPI number for Puckett Dental LLC is 1669608741. It was assigned to this organization in the NPPES registry on June 3, 2009. The provider is doing business as Ridge Kids Dental.

Q: What is Puckett Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since June 03, 2009

624 W COURT ST, SUITE A, PARAGOULD, AR 72450(870) 236-5888(870) 236-6888 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ridge Kids Dental NPPES

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

RIDGE KIDS DENTAL (NPI 1669608741) is a healthcare organization registered as a dentist in Paragould, Arkansas and active in the NPI registry since June 2009. The organization lists John Hartley Puckett, Owner, as its authorized official.

NPPES Registry Identity

NPI1669608741

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePUCKETT DENTAL LLC

Location Address624 W COURT ST, SUITE AParagould, AR 72450-4247

Mailing AddressPo Box 1209Paragould, AR 72451-1209 · (870) 236-5888 · Fax (870) 236-6888

Phone(870) 236-5888

Fax(870) 236-6888

Organization SubpartNo

Authorized OfficialJohn Hartley PuckettOwner · (870) 236-5888

Enumeration DateJune 3, 2009

Last NPPES UpdateMarch 17, 2015

✔ NPI 1669608741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AR · 3406

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.

624 W COURT ST, Paragould, AR 72450

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Other Names 1

Doing Business AsRidge Kids Dental

Other Identifiers 1

Medicaid176117631AR

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

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

DR. HAYLEY BETH RICHARDSON DDS

Dentist (General Practice)

624 W COURT ST
PARAGOULD, AR 72450

Greene County (870) 236-5888

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 Puckett Dental LLC's NPI number?

The NPI number for Puckett Dental LLC is 1669608741. It was assigned to this organization in the NPPES registry on June 3, 2009. The provider is doing business as Ridge Kids Dental.

Where is Puckett Dental LLC located?

Puckett Dental LLC is located at 624 W Court St Suite A, Paragould, AR 72450. The listed phone number is (870) 236-5888.

What is Puckett Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Puckett Dental LLC was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.