| Purnell Orthodontics Pc | |
|
4574 Sunset Blvd B Lexington SC 29072-9250 | |
| (803) 785-4460 | |
| Not Available |
| Full Name | Purnell Orthodontics Pc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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