Gregory Puccio Dmd Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
GREGORY PUCCIO DMD LLC	1013603315	2023-05-06

The organization Gregory Puccio Dmd Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1013603315. Registration indicates Gregory Puccio Dmd Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Dental, ) (Clinic/Center Dental, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity Type	Organization

Provider Organization	GREGORY PUCCIO DMD LLC
Practice Office Address	8502 HARFORD RD PARKVILLE, MD US
Practice Office Telephone	4108829620
Mailing Address	8502 HARFORD RD PARKVILLE, MD 212344651 US
Business Telephone	4108829620
Authorized Official	GREGORY PUCCIO, OWNER 4108829620

HPT Codes

Code	Practice	License No State
261QD0000X PRIMARY	Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Dental Clinic/Center Dental Ambulatory Health Care Facilities Clinic/Center

OPI Codes

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