Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629558507 Individual Practitioner Male Practitioner

Dr. Devon Pucel , DDS

Dentist - General Practice • Grandville, MI

Professional Overview & Biography Verified Profile Summary

Dr. Devon Pucel, DDS is a registered healthcare professional specializing in Dentist - General Practice in Grandville, MI. Practice services are available at 4391 CANAL AVE SW STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4391 Canal Ave Sw Ste A

Grandville, MI 494182680

Telephone 6162660264
Associated Practice Facility / Clinic
🏢 Miller Dental Practice Pllc Facility NPI 1699282491

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grandville, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Grandville, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901602000

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MO 2019011336

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CO DEN.00203754

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Angela Mercier , DDS

Dentist - General Practice

NPI 1841868346

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 20, 2023

Registered at 4391 CANAL AVE SW STE A, GRANDVILLE, MI 494182680 (Tel: 6162660264)

📍
Updated Business Mailing Address December 20, 2023

Registered at 4391 CANAL AVE SW STE A, GRANDVILLE, MI 494182680 (Tel: 6162660264)

📍
Updated Practice Location October 20, 2020

Registered at 16889 CHESTERFIELD AIRPORT RD, CHESTERFIELD, MO 630051437 (Tel: 6365363017)

📍
Updated Business Mailing Address October 20, 2020

Registered at 16889 CHESTERFIELD AIRPORT RD, CHESTERFIELD, MO 630051437 (Tel: 6365363017)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2020

Dentist (License #2019011336 in MO)

NPI Profile Active August 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2018

Registered at 4451 VENETUCCI BLVD UNIT 160, COLORADO SPRINGS, CO 809064056 (Tel: 6365791150)

📍
Updated Business Mailing Address August 20, 2018

Registered at 4451 VENETUCCI BLVD UNIT 160, COLORADO SPRINGS, CO 809064056

👤
Provider Name / Credentials Updated August 20, 2018

Recorded as DEVON PUCEL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2018

Dentist (License #DEN.00203754 in CO)

🟢
Initial NPI Registration & Enumeration August 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629558507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2018
Last Update: December 20, 2023
Sole Proprietor: No

Mailing Address

4391 Canal Ave Sw Ste A

Grandville, MI 494182680

Phone: 6162660264

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.