DR. WILLIAM LEE PANNECK DDS NPI 1619047321

NPI Information

NPI: 1619047321
Provider Name: DR. WILLIAM LEE PANNECK, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1803 WOODSPRINGS RD
JONESBORO, AR
ZIP 72401
Phone: (870) 932-8488
Get Directions

DR. William Lee Panneck, DDS is a general practice dentist in Jonesboro, AR. The provider is 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. DR. William Lee Panneck, DDS NPI is 1619047321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1803 WOODSPRINGS RD
JONESBORO, AR
ZIP 72401-903
Phone: (870) 932-8488
Fax: (870) 932-5717

The enumeration date for this NPI number is 11/9/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	AR2423	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	562235	OTHER	ARKANSAS	BCBS-BLUE ADVANTAGE
2	58820	OTHER	ARKANSAS	BCBS - FEDERAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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