DR. DEVON PUCEL (NPI# 1629558507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629558507 |
| Entity Type | Individual |
| Full Name | DR. DEVON PUCEL |
| Credential | DDS |
| Practice Address |
16889 Chesterfield Airport Rd Chesterfield MO 63005-1437 |
| Practice Telephone | 6365363017 |
| Mailing Telephone | 6365363017 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2019011336 | MO | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DEN.00203754 | CO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4451 Venetucci Blvd Unit 160, Colorado Springs, CO 809064056 | 6365791150 |
| Street Address |
16889 CHESTERFIELD AIRPORT RD |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63005-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639544059 | Alex Sharifian Dds, Chesterfield Smiles Dentistry, PC | Dentist | 16889 Chesterfield Airport Rd, Chesterfield, MO 63005-1437 | 2015-12-10 |
| 1659829588 | Andrea Armstrong | Dentist | 16889 Chesterfield Airport Rd, Chesterfield, MO 63005-1437 | 2016-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063901254 | Ryan Hewkin | Chiropractor | 17684 Chesterfield Airport Road, Chesterfield, MO 63005 | 2018-05-03 |
| 1093224487 | All Family Matters, LLC | In Home Supportive Care | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005 | 2017-09-28 |
| 1437681293 | Emily Therese Harpel | Pharmacist | 691 Trade Center Blvd, Chesterfield, MO 63005 | 2017-03-31 |
| 1831543826 | Leslie Noel Chanasue | Family Medicine | 17701 Edison Ave Ste 101, Chesterfield, MO 63005 | 2016-04-16 |
| 1497112874 | Jordan Kimler | Nurse Practitioner | 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 | 2016-01-15 |
| 1265850556 | Richard George Rougeau | General Practice | 17679 Wildridge Drive, Wildwood, MO 63005 | 2014-04-03 |
| 1679912554 | Ceara M Barmeier | Physician Assistant | 17300 N Outer 40 Rd #101, Chesterfield, MO 63005 | 2013-06-24 |
| 1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
| 1528334984 | Syed Tanveer Haider | Radiologic Technologist | 16502 Barrister Lane, Chesterfield, MO 63005 | 2012-03-29 |
| 1144591041 | Sensible Dental - Chesterfield | Dentist | 100 Thf Blvd., Chesterfield, MO 63005 | 2012-01-24 |
| Find all providers in zip 63005 | ||||
| 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 | 63005 |
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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.