Individual
SEAN EMERSON BARNWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 TWO NOTCH RD, COLUMBIA, SC 29204-2822
(803) 691-9930
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 546-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411212
VA
1223G0001X
General Practice Dentistry
052536
NY
1223G0001X
General Practice Dentistry
21298
MA
1223G0001X
General Practice Dentistry
Primary
3147
SC
1223G0001X
General Practice Dentistry
DN013162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204561
—
MA
01
—
9180184
DORAL
VA
05
—
Z31476
—
SC
Enumeration date
04/21/2006
Last updated
07/09/2007
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