DR. LUTHER GREENE PUCKETT IV (NPI# 1225155070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225155070 |
| Entity Type | Individual |
| Full Name | DR. LUTHER GREENE PUCKETT IV |
| Credential | D.D.S. |
| Practice Address |
508 N Church St Livingston TN 38570-1539 |
| Practice Telephone | 9318233754 |
| Practice Fax Number | 9318233739 |
| Mailing Telephone | 9318233754 |
| Mailing Fax Number | 9318233739 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8548 | TN | Dental Providers |
| Street Address |
508 N CHURCH ST |
| City | LIVINGSTON |
| State | TN |
| Zip Code | 38570-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679007348 | Tori Mariusso | Dentist | 508 N Church St, Livingston, TN 38570-1539 | 2017-04-19 |
| 1477859130 | L.g. Puckett D.d.s. | Dentist | 508 N Church St, Livingston, TN 38570-1539 | 2011-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275825648 | Larry W Neal | Non-emergency Medical Transport (VAN) | 4145 Bradford Hicks Dr, Livingston, TN 38570 | 2011-05-04 |
| 1457682734 | Rocky Top Delivery Service | Non-emergency Medical Transport (VAN) | 11653 Bradford Hicks Dr., Livingston, TN 38570 | 2010-01-26 |
| 1790936425 | Linde-rss, LLC | Durable Medical Equipment & Medical Supplies | 104b West Court Square, Livingston, TN 38570 | 2008-09-30 |
| 1114053816 | Angela Abbott | Registered Nurse | 5885 Bradford Hicks Drive, Tn Dept of Health, Livingston, TN 38570 | 2007-02-26 |
| 1700929205 | Cumberland Plateau Recovery | Counselor | 550 North Church Street, Livingston, TN 38570 | 2007-02-14 |
| 1467594614 | Med-way Mobile X Ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 251 Mchenry Circle, Livingston, TN 38570 | 2007-02-13 |
| 1710900691 | Buckeye Home Health Center, Inc. | Durable Medical Equipment & Medical Supplies | 321 West Broad St, Suite A, Livingston, TN 38570 | 2006-07-25 |
| 1982647665 | Mark Douglas Pressley | Emergency Medicine | Livingston Regional Hospital, 315 Oak Street, Livingston, TN 38570 | 2006-06-13 |
| 1245586031 | Shellnuts Aces Inc | Pharmacy | 1970 Bradford Hicks Dr, Ste B, Livingston, TN 38570 | 2012-07-30 |
| 1497010623 | Shellnuts Aces Inc | Pharmacy | 1970 Bradford Hicks Dr, Ste B, Livingston, TN 38570 | 2012-07-13 |
| Find all providers in zip 38570 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508368697 | Jeffrey E Fine | Dentist | 160 Rainbow Dr # 6051, Livingston, TX 77399-1060 | 2018-03-05 |
| 1205229655 | Livingston Family Dentistry, Pllc | Dentist | 411 Yaupon Ave, Livingston, TX 77351-2664 | 2015-03-10 |
| 1902205420 | Vanna Nicole Stone | Dentist | 201 S Livingston Ave Ste 2c, Livingston, NJ 07039-4040 | 2014-08-20 |
| 1053727628 | Smile Studio Pllc | Dentist | 1772 W Church St, Livingston, TX 77351-9005 | 2014-07-03 |
| 1780097527 | Scott Schwartz | Dentist | 9 Cornerstone Way, Livingston, NJ 07039-9999 | 2014-06-10 |
| 1174882328 | Ralph K Jenke Dds & Associates Pa Dba Polk County Dental Care | Dentist | 1114 N Washington Ave, Livingston, TX 77351-2336 | 2012-05-09 |
| 1093971376 | Kevin Graham Scott | Dentist | 422 South Main Street, Livingston, MT 59047 | 2008-08-05 |
| 1306019245 | George T. King | Dentist | 1648 Joseph St, Livingston, CA 95334-1632 | 2008-04-11 |
| 1942424353 | Stuart Arnold Farbman | Dentist | 205 E. Mt. Pleasant Ave., Livingston, NJ 07039 | 2007-04-13 |
| 1649398652 | Maria Victoria Sebastian | Dentist | 349 E Northfield Rd Ste 211, Livingston, NJ 07039-4806 | 2007-03-27 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 38570 |
Please comment or provide details below to improve the information on DR. LUTHER GREENE PUCKETT IV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.