Purcell, Wiley Lipscomb

Purcell, Wiley Lipscomb is an individual health care provider with primary practice located at 3636 Wheeler Rd , Augusta GA 30909-6626. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Purcell, Wiley Lipscomb can be contacted via phone (706) 869-9117.

Contact Information

Primary practice address
3636 Wheeler Rd Augusta GA 30909-6626
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN015381 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X DN015381 Georgia
Dental Providers / Endodontics 1223E0200X DN015381 Georgia

Profile Details

NPI number 1235587908
LBN Legal business name Purcell, Wiley Lipscomb
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2016
Last updated Jul 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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