NPI 1093704520

Jill Heather Pucel-Koopman, DDS

Practitioner Dentist Rogers, MN

Practice location

Address: 14115 James Rd Suite 303, Rogers, MN 55374-9468
Phone: (763) 428-2226
Fax: (763) 428-3407

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D11666 (MN)

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Registry record

NPI: 1093704520
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2005
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.