LAWRENCE A PUCCINELLI JR. (NPI# 1689844938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689844938 |
| Entity Type | Individual |
| Full Name | LAWRENCE A PUCCINELLI JR. |
| Other Name | LAWRENCE A PUCCINELLI SR. |
| Credential | DDS |
| Practice Address |
10363 Torre Ave Ste E Cupertino CA 95014-3236 |
| Practice Telephone | 4082521970 |
| Practice Fax Number | 4082521904 |
| Mailing Telephone | 4082521970 |
| Mailing Fax Number | 4082521904 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
20253 | CA | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
42214 | CA | Dental Providers |
| Street Address |
10363 TORRE AVE STE E |
| City | CUPERTINO |
| State | CA |
| Zip Code | 95014-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343500 | Voong Chuang LLC | Podiatrist | 1030 Pennington Ln, Cupertino, CA 95014 | 2018-07-23 |
| 1083114748 | Michelle T Vo | Social Worker | 19000 Homestead Rd Fl 2, Cupertino, CA 95014 | 2018-02-19 |
| 1437686797 | Yi Shou Chang | Acupuncturist | 20600 Mariani Ave Ste D, Cupertino, CA 95014 | 2017-05-17 |
| 1023553732 | Crossover Health Medical Group | Specialist | 19500 E. Homestead Rd., Cupertino, CA 95014 | 2017-01-04 |
| 1831649359 | Victoria Cheong | Occupational Therapist | 10050 N. Wolfe Road, Sw1-190, Cupertino, CA 95014 | 2016-10-07 |
| 1437532678 | Venus Tsai | Optometrist | 10123 North Wolfe Road, Cupertino, CA 95014 | 2015-07-07 |
| 1356731608 | Man-pik Lo, D.d.s., Inc. | Dentist | 20395 Pacifica Drive, Ste. 110, Cupertino, CA 95014 | 2015-01-26 |
| 1760826101 | Seiyu Kageyama | Acupuncturist | 10835 N. Wolfe Road., Cupertino, CA 95014 | 2013-04-27 |
| 1699043802 | Lisa Marie-mone Fourkas | Physical Therapist | 1601 South Deanza Blvd, Suite 111, Cupertino, CA 95014 | 2011-12-02 |
| 1508141193 | Kuo-jui Huang | Acupuncturist | 10325 S. Tantau Ave., Cupertino, CA 95014 | 2011-10-15 |
| Find all providers in zip 95014 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851684153 | Yashar Eslami | Dentist | 10311 S De Anza Blvd Ste 6, Cupertino, CA 95014-3028 | 2011-05-18 |
| 1467574665 | Bruce R Jespersen | Dentist | 10430 S De Anza Blvd Ste 290, Cupertino, CA 95014-3025 | 2007-04-06 |
| 1174078539 | Lavasani & Eslami Dental Group Inc | Dentist | 10311 S De Anza Blvd Ste 6, Cupertino, CA 95014-3028 | 2016-08-16 |
| 1073970554 | Jaewoong Choi Dds, Inc. | Dentist | 20410 Town Center Ln Ste 190, Cupertino, CA 95014-3230 | 2016-01-28 |
| 1184819484 | Jaewoong Choi | Dentist | 20410 Town Center Ln Ste 190, Cupertino, CA 95014-3230 | 2007-09-10 |
| 1831281112 | Bexter M Yang | Dentist | 10251 Torre Ave, Suite 100, Cupertino, CA 95014-2186 | 2006-09-28 |
| 1881608784 | Keivan Zoufan | Dentist | 10055 Miller Ave, Suite 103, Cupertino, CA 95014-3472 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.