BR PUCAN II PROFESSIONAL DENTAL CORPORATION
NPI 1366093460
Clinic/Center - Dental in Hercules, CA

Q: What is Br Pucan II Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since September 20, 2019

1581 SYCAMORE AVE STE 3, HERCULES, CA 94547(510) 671-8111 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2019, Sep 20, 2019 (2 updates tracked since 2019).

On this page

About Br Pucan Ii Professional Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BR PUCAN II PROFESSIONAL DENTAL CORPORATION (NPI 1366093460) is a healthcare organization registered as a dental in Hercules, California and active in the NPI registry since September 2019. The organization lists Brisbain Rigor Pucan, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1366093460

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameBR PUCAN II PROFESSIONAL DENTAL CORPORATION

Location Address1581 SYCAMORE AVE STE 3Hercules, CA 94547-1700

Mailing Address2143 Springs Rd. Suite 51Vallejo, CA 94591 · (707) 552-3952 · Fax (707) 552-9320

Phone(510) 671-8111

Organization SubpartNo

Authorized OfficialBrisbain Rigor PucanDentist/owner · (707) 552-3952

Enumeration DateSeptember 20, 2019

Last NPPES UpdateDecember 16, 20192 updates tracked since enumeration

✔ NPI 1366093460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1581 SYCAMORE AVE STE 3, Hercules, CA 94547

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Br Pucan II Professional Dental Corporation's NPI number?

The NPI number for Br Pucan II Professional Dental Corporation is 1366093460. It was assigned to this organization in the NPPES registry on September 20, 2019.

Where is Br Pucan II Professional Dental Corporation located?

Br Pucan II Professional Dental Corporation is located at 1581 Sycamore Ave Ste 3, Hercules, CA 94547. The listed phone number is (510) 671-8111.

What is Br Pucan II Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Br Pucan II Professional Dental Corporation was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.