Organization
HURST FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN GLEN HURST DDS (PRESIDENT)
(712) 439-2666
Entity
Organization
Contact information
Practice address
807 MAIN ST., SUITE B, HULL, IA 51239-7336
(712) 439-2666
(712) 439-2599
Mailing address
807 MAIN ST., SUITE B, HULL, IA 51239-7336
(712) 439-2666
(712) 439-2599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08204
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0414706
—
IA
Enumeration date
01/25/2007
Last updated
08/22/2020
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