Individual
DR. SAMUEL PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.S
Contact information
Practice address
4574 SUNSET BLVD, B, LEXINGTON, SC 29072-9250
(803) 785-4460
Mailing address
4574 SUNSET BLVD, B, LEXINGTON, SC 29072-9250
(803) 785-4460
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8336
SC
Other
Enumeration date
10/29/2015
Last updated
01/31/2017
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