Organization
FOOTHILLS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H BRYANT (DENTIST/OWNER)
(864) 578-9040
Entity
Organization
Contact information
Practice address
3480 CHESNEE HIGHWAY, CHESNEE, SC 29368
(864) 578-9040
(864) 578-0539
Mailing address
PO BOX 860, MAYO, SC 29368-0860
(864) 578-9040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903567
—
NC
05
—
5906513
—
ND
05
—
ZA9657
—
SC
Enumeration date
10/02/2007
Last updated
10/02/2007
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