Organization
HORRES HURTEAU FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMYE HORRES HURTEAU D.M.D. (MANAGING MEMBER/DENTIST)
(843) 209-3897
Entity
Organization
Contact information
Practice address
101 RUTLEDGE AVE, CHARLESTON, SC 29401-1722
(843) 722-3199
(843) 722-3199
Mailing address
101 RUTLEDGE AVE, CHARLESTON, SC 29401-1722
(843) 722-3199
(843) 722-3199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3736
SC
1223G0001X
General Practice Dentistry
3946
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3736
—
SC
Enumeration date
07/21/2010
Last updated
07/21/2010
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