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Organization
WESMARK FAMILY DENTISTRY OF SUMTER, PC
Active
Organization
WESMARK FAMILY DENTISTRY OF SUMTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL CHARLES HURST JR. DMD (PRESIDENT/OWNER)
(803) 469-2060
Entity
Organization
Contact information
Practice address
360 W WESMARK BLVD, SUMTER, SC 29150-1977
(803) 469-2060
(803) 469-2073
Mailing address
360 W WESMARK BLVD, SUMTER, SC 29150-1977
(803) 469-2060
(803) 469-2073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC2501
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9689
—
SC
Enumeration date
05/17/2006
Last updated
08/22/2020
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