Provider Demographics
NPI:1962652800
Name:PURKEY, PATRICIA ANNE (RDH DENTAL HYGIENIST)
Entity Type:Individual
Prefix:MISS
First Name:PATRICIA
Middle Name:ANNE
Last Name:PURKEY
Suffix:
Gender:F
Credentials:RDH DENTAL HYGIENIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1785 CLIFFVIEW DRIVE
Mailing Address - Street 2:APT 0802
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306
Mailing Address - Country:US
Mailing Address - Phone:248-651-4457
Mailing Address - Fax:
Practice Address - Street 1:1785 CLIFFVIEW DR
Practice Address - Street 2:APT 0802
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-4277
Practice Address - Country:US
Practice Address - Phone:248-651-4457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2902010641124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist