Individual
KIRK EDWARD HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD PA
Contact information
Practice address
12313 GREENVILLE HWY, LYMAN, SC 29365-1515
(864) 439-3322
(864) 949-3953
Mailing address
12313 GREENVILLE HWY, LYMAN, SC 29365-1515
(864) 439-3322
(864) 949-3953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3598
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9592
—
SC
05
—
ZX3598
—
SC
Enumeration date
01/30/2008
Last updated
08/16/2022
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