Steven Frederick Puffer, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

30733 Issued in TX

Practice address

1211 Park St
Nacogdoches, TX 75961-4896

Phone

(936) 546-2437

Fax

(936) 560-9456

NPI assigned

Jul 29, 2011

Last updated

May 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1942588603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631278",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759631278",
            "telephone_number": "936-564-2439",
            "fax_number": "936-560-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 PARK ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614896",
            "telephone_number": "936-546-2437",
            "fax_number": "936-560-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUFFER",
        "first_name": "STEVEN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4476",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Procell, M.D.
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• Pulmonary Medicine of Nacogdoches, P.a.
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• Marian Kathleen Querry, D.O.
• R. Kent Cannaday, Crna, PLLC (N / a)

• Dentist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.