NPI 1508823139

Charles Walter Puffer, DDS

Practitioner General Practice Dentistry Prior Lake, MN

Practice location

Address: 14120 Commerce Ave NE Suite 300, Prior Lake, MN 55372-1500
Phone: (952) 447-1080
Fax: (952) 447-0376

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D8303 (MN)

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Registry record

NPI: 1508823139
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Apr 2006
Record last updated: 8 Jul 2007

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.