DR. GREGORY A PUCEL (NPI# 1295952356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295952356 |
| Entity Type | Individual |
| Full Name | DR. GREGORY A PUCEL |
| Credential | D D S |
| Practice Address |
510 Baxter Rd Suite # 3 Chesterfield MO 63017-7032 |
| Practice Telephone | 6363911911 |
| Practice Fax Number | 6363910629 |
| Mailing Telephone | 6363911911 |
| Mailing Fax Number | 6363910629 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13772 | MO | Dental Providers |
| Street Address |
510 BAXTER RD SUITE # 3 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-7032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710946504 | Thomas S. Sommers Jr. | Family Medicine | 510 Baxter Rd, Suite 10n, Chesterfield, MO 63017-7032 | 2006-03-21 |
| 1811367576 | Sharon Mason | Dentist | 510 Baxter Rd, Suite 2, Chesterfield, MO 63017-7032 | 2015-10-06 |
| 1295104214 | Christopher Thoma Dc PC | Chiropractor | 510 Baxter Rd, Suite #8, Chesterfield, MO 63017-7032 | 2015-09-21 |
| 1679844856 | Yarger Chiropractic and Acupuncture | Chiropractor | 510 Baxter Rd, Chesterfield, MO 63017-7032 | 2012-01-20 |
| 1629393087 | Roots of Wellness Chiropractic LLC | Chiropractor | 510 Baxter Rd, Suite 8, Chesterfield, MO 63017-7032 | 2010-03-29 |
| 1245469816 | Janet Yarger | Chiropractor | 510 Baxter Rd, Suite 8, Chesterfield, MO 63017-7032 | 2009-07-04 |
| 1053515957 | Dynamic Health Chiropractic LLC | Chiropractor | 510 Baxter Rd, Suite #8, Chesterfield, MO 63017-7032 | 2007-06-13 |
| 1184841249 | Curtis Lee Row | Dentist | 510 Baxter Rd, Suite #3, Chesterfield, MO 63017-7032 | 2007-04-19 |
| 1285765065 | Kevin M Morgester | Dentist | 510 Baxter Rd, Suite #1, Chesterfield, MO 63017-7032 | 2007-03-07 |
| 1215076997 | Darryl Albert Oblack | Chiropractor | 510 Baxter Rd, Suite 4s, Chesterfield, MO 63017-7032 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255855789 | Aaron S. Johnson, Dds, PC | Dentist | 34301 23 Mile Rd Ste 140a, Chesterfield, MI 48047-4432 | 2017-07-26 |
| 1194254847 | Ibrahim Dawood | Dentist | 50503 Gratiot Ave, Chesterfield, MI 48051-3184 | 2017-06-07 |
| 1306205893 | Marc R. Sattovia | Dentist | 16100 Chesterfield Parkway W., #320, Chesterfield, MO 63017-4817 | 2016-02-12 |
| 1346605219 | Hurley Family Dentistry LLC | Dentist | 14377 Woodlake Dr Ste 211, Chesterfield, MO 63017-5735 | 2015-12-20 |
| 1639544059 | Alex Sharifian Dds, Chesterfield Smiles Dentistry, PC | Dentist | 16889 Chesterfield Airport Rd, Chesterfield, MO 63005-1437 | 2015-12-10 |
| 1215338959 | Bright Smiles Dental | Dentist | 7205 Hancock Village Dr, Chesterfield, VA 23832-2782 | 2014-09-12 |
| 1285057521 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 15817 Fountain Plaza Dr, Chesterfield, MO 63017-7468 | 2014-01-22 |
| 1881036630 | Faye Licata | Dentist | 111 Hilltown Village Ctr Ste 200, Chesterfield, MO 63017-1712 | 2013-07-22 |
| 1144591041 | Sensible Dental - Chesterfield | Dentist | 100 Thf Blvd., Chesterfield, MO 63005 | 2012-01-24 |
| 1720370497 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1642 Clarkson Rd, Chesterfield, MO 63017-4601 | 2011-05-12 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.