Provider Demographics
NPI:1225148364
Name:PURCZINSKY, DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:PURCZINSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 N MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-1717
Mailing Address - Country:US
Mailing Address - Phone:817-573-4711
Mailing Address - Fax:817-573-1592
Practice Address - Street 1:1116 N MEADOWS DR
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-1717
Practice Address - Country:US
Practice Address - Phone:817-573-4711
Practice Address - Fax:817-573-1592
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX178641223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry