Michael J. Purcell, DDS

NPI #1174700629 in Pueblo, Colorado

Provider Information

NPI Number: 1174700629
Entity Type: Organization
Organization Name: Michael J. Purcell, DDS
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 28, 2008
Last Updated: Jan 28, 2008

Practice Location

Address: 1640 FORTINO BLVD
City: Pueblo
State: Colorado
ZIP Code: 81008-1856
Phone: (719) 543-7123

Authorized Official

Name: MICHAEL J. PURCELL, DDS
Title: OWNER/DENTIST
Phone: (719) 369-8484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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