Dennis Blake Pulliam
Dentist - General Practice • Walnut Ridge, AR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dennis Pulliam has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dennis Pulliam was a registered Dentist - General Practice practicing in Walnut Ridge, AR. Throughout an active medical career spanning 17 years, Dennis Pulliam provided care at the practice location at 413 SOUTHWEST THIRD until profile deactivation on 2024-02-07.
Practice Location & Contact Primary Location
413 Southwest Third
Walnut Ridge, AR 72476
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Walnut Ridge, AR
Practicing in Walnut Ridge, AR (909 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 07, 2024
NPI status registered as active in NPPES database
Registered at 413 SOUTHWEST THIRD, WALNUT RIDGE, AR 72476 (Tel: 8708866761)
Registered at 413 SOUTHWEST THIRD, WALNUT RIDGE, AR 72476 (Tel: 8708866761)
Recorded as DENNIS PULLIAM
Dentist (License #2134 in AR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
413 Southwest Third
Walnut Ridge, AR 72476
Phone: 8708866761
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