Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942327838 Individual Practitioner Male Practitioner

Dr. Jack Y Pugh , DMD

Dentist - General Practice • Enterprise, AL

Professional Overview & Biography Verified Profile Summary

Dr. Jack Pugh, DMD is a registered healthcare professional specializing in Dentist - General Practice in Enterprise, AL. Practice services are available at 442 GLOVER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

442 Glover Ave

Enterprise, AL 36330

Telephone 3343476456
Fax 3343933817
Associated Practice Facility / Clinic
🏢 Cardinal Dental Llc Facility NPI 1609993591

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Enterprise, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Enterprise, AL (1455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AL 2582 C.S.

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
515-34127 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1164502944

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 442 GLOVER AVE, ENTERPRISE, AL 36330 (Tel: 3343476456)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 311870, ENTERPRISE, AL 363311870 (Tel: 3343476456)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK PUGH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2582 C.S. in AL)

🟢
Initial NPI Registration & Enumeration March 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942327838
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 311870

Enterprise, AL 363311870

Phone: 3343476456

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.