Individual
DR. MICHAEL J PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
748 GOODPASTURE ISLAND RD, EUGENE, OR 97401-1751
(541) 686-2446
(541) 686-3055
Mailing address
12225 VOYAGER PKWY STE 6, COLORADO SPRINGS, CO 80921-3754
(719) 488-4343
(719) 694-9036
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
CO7055
CO
1223P0221X
Pediatric Dentistry
D10524
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207555
—
CO
05
—
500711437
—
OR
Enumeration date
09/16/2006
Last updated
01/26/2022
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