Organization
KIRK E HOUSTON DMD PA
Active
Other names
Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK EDWARD HOUSTON DMD (CEO)
(864) 439-3322
Entity
Organization
Contact information
Practice address
12313 GREENVILLE HIGHWAY, LYMAN, SC 29365
(864) 439-3322
(864) 949-3953
Mailing address
12313 GREENVILLE HIGHWAY, LYMAN, SC 29365
(864) 439-3322
(864) 949-3953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03598
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9592
—
SC
Enumeration date
09/07/2006
Last updated
08/22/2020
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