Individual
DR. DANIEL ROBERT PUGSLEY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16475
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16475
STATE DENTAL LICENSE
OH
Enumeration date
09/12/2008
Last updated
09/12/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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