Organization
SNORE NO MORE SUMTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL CHARLES HURST JR. DMD (OWNER)
(803) 468-7989
Entity
Organization
Contact information
Practice address
40 WESMARK CT, SUMTER, SC 29150-1996
(803) 468-7989
(803) 469-2063
Mailing address
40 WESMARK CT, SUMTER, SC 29150-1996
(803) 468-7989
(803) 469-2073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
Other
Enumeration date
09/11/2019
Last updated
08/04/2020
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