Individual
ANNE PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
150 SE 3RD AVE, HILLSBORO, OR 97123-4019
(503) 213-2157
Mailing address
300 WILLOWBROOK LN STE 300, WEST CHESTER, PA 19382-5594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D10929
OR
1223P0221X
Pediatric Dentistry
Primary
D10929
OR
1223P0221X
Pediatric Dentistry
DS043105
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500767313
—
OR
Enumeration date
04/10/2017
Last updated
09/13/2022
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