Organization
TYLAN CREEK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL LEA HALBERT DMD (PRESIDENT)
(864) 962-6671
Entity
Organization
Contact information
Practice address
330 HARRISON BRIDGE RD, SIMPSONVILLE, SC 29680-7133
(864) 962-6671
(864) 962-6683
Mailing address
330 HARRISON BRIDGE RD, SIMPSONVILLE, SC 29680-7133
(864) 962-6671
(864) 962-6683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC2867
SC
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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