Individual provider · Type 1 NPI
Jill Heather Pucel-Koopman, DDS
Dentist · Rogers, MN
Practice location
14115 James Rd, Suite 303
Rogers, MN 55374-9468
Fax (763) 428-3407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | D11666 (MN) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1093704520
Jill Heather Pucel-Koopman, DDS's National Provider Identifier is 1093704520, issued on Oct 18, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Rogers, MN. The record was last updated on Jul 13, 2026.