Organization
LYMAN FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JEREMY WORD D.M.D (OWNER)
(864) 423-9190
Entity
Organization
Contact information
Practice address
301 SPARTANBURG RD, LYMAN, SC 29365-1746
(864) 439-1240
(864) 439-1241
Mailing address
301 SPARTANBURG RD, LYMAN, SC 29365-1746
(864) 439-1240
(864) 439-1241
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4360
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4360
—
SC
Enumeration date
06/24/2009
Last updated
06/24/2009
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