Pucel, Devon
Pucel, Devon is an individual health care provider with primary practice located at 4391 Canal Ave Sw Ste A , Grandville MI 49418-2680. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pucel, Devon can be contacted via phone (616) 266-0264.Contact Information
Primary practice address
4391 Canal Ave Sw Ste A
Grandville MI 49418-2680
Phone: (616) 266-0264
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2019011336 | Missouri |
| Dental Providers / General Practice | 1223G0001X | DEN.00203754 | Colorado |
| Dental Providers / General Practice | 1223G0001X | 2901602000 | Michigan |
Profile Details
| NPI number | 1629558507 |
|---|---|
| LBN Legal business name | Pucel, Devon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2018 |
| Last updated | Dec 20th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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