Individual
DR. CHARLES J. PURMA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
324 N MAIN ST, SCOTT CITY, KS 67871-1180
(620) 872-2389
(620) 872-2011
Mailing address
1211 HILLSIDE DR, SCOTT CITY, KS 67871-1354
(620) 872-2389
(620) 872-2011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4554
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8694
BLUE CROSS BLUE SHIELD KS
KS
Enumeration date
05/01/2007
Last updated
07/08/2007
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