Individual
DR. PETER D. PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
401 POTTERS RD, WEST SENECA, NY 14220-2552
(716) 822-2499
(716) 821-9672
Mailing address
401 POTTERS RD, WEST SENECA, NY 14220-2552
(716) 822-2499
(716) 821-9672
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
38389
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00996694
—
NY
Enumeration date
10/20/2005
Last updated
09/23/2014
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