# PURSEL DENTAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962582965
- **Authorized official:** DR. KEVIN M PURSEL D.M.D. (DOCTOR)
- **Authorized official phone:** (814) 535-5244

## Contact information

- **Practice address:** 647 MAIN ST, SUITE 1, JOHNSTOWN, PA 15901-2140
- **Practice address phone:** (814) 535-5244
- **Practice address fax:** (814) 536-2474
- **Mailing address:** 647 MAIN ST, SUITE 1, JOHNSTOWN, PA 15901-2140
- **Mailing address phone:** (814) 535-5244
- **Mailing address fax:** (814) 536-2474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 08/22/2020