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DR. JEFFERY PUCHER DDS NPI 1306882667


NPI Information

NPI: 1306882667
Provider Name: DR. JEFFERY PUCHER, DDS
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
11301 WILSHIRE BLVD
VETERANS AFFAIRS, GLAHS, BLDG 500 DENTAL / W160
LOS ANGELES, CA
ZIP 90073
Phone: (310) 478-3711
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DR. Jeffery Pucher, DDS is a periodontics dentist in Los Angeles, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Jeffery Pucher, DDS NPI is 1306882667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11301 WILSHIRE BLVD
VETERANS AFFAIRS, GLAHS, BLDG 500 DENTAL / W160
LOS ANGELES, CA
ZIP 90073
Phone: (310) 478-3711
Fax: (310) 268-3941

The enumeration date for this NPI number is 6/22/2006 and was last updated on 7/25/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics51211CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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