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Michael J. Purcell, Dds
Dental Clinic/Center in Pueblo, Colorado
NPI 1174700629

Michael J. Purcell, Dds is a Dental Clinic/Center based in Pueblo, CO and is specialized in Dental. Michael J. Purcell, Dds practices in Pueblo, CO. The NPI Number for Michael J. Purcell, Dds is 1174700629 and holds a License No. C07055 (Colorado).

The current practice location address for Michael J. Purcell, Dds is 1640 Fortino Blvd, Pueblo, CO and can be reached out via phone at 719-543-7123 and via fax at 719-253-7761.

Location: 1640 Fortino Blvd, Pueblo, CO, 81008-1856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174700629
Provider Name
Michael J. Purcell, Dds
Credential
Provider Entity Type
Organization
Address
1640 Fortino Blvd, Pueblo, CO, 81008-1856
Phone Number
719-543-7123
Fax Number
719-253-7761
Provider Enumeration Date
01/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02070555 05 CO
789815 01 CO UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
1640 Fortino Blvd
City
Pueblo
State
Colorado
Zip
81008-1856
Phone Number
719-543-7123
Fax Number
719-253-7761
person
Provider Business Mailing Address Details
Address
1640 Fortino Blvd
City
Pueblo
State
Colorado
Zip
81008-1856
Phone Number
719-543-7123
Fax Number
719-253-7761
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
C07055 (Colorado)
Definition
Definition to come...
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