Purnell Orthodontics Pc | |
4574 Sunset Blvd B Lexington SC 29072-9250 | |
(803) 785-4460 | |
Not Available |
Full Name | Purnell Orthodontics Pc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 4574 Sunset Blvd, Lexington, South Carolina |
Authorized Official Name and Position | Samuel Purnell (PRESIDENT) |
Authorized Official Contact | 8037854460 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Purnell Orthodontics Pc 4574 Sunset Blvd B Lexington SC 29072-9250 Ph: () - | Purnell Orthodontics Pc 4574 Sunset Blvd B Lexington SC 29072-9250 Ph: (803) 785-4460 |
NPI Number | 1174998892 |
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Provider Enumeration Date | 12/07/2015 |
Last Update Date | 01/31/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174998892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8336 (South Carolina) | Primary |
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