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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