| Dr. David R. Hutto Dmd | |
|
1380 Park St Orangeburg SC 29115-4880 | |
| (803) 536-9300 | |
| (803) 536-6922 |
| Full Name | Dr. David R. Hutto Dmd |
|---|---|
| Speciality | Dentist |
| Location | 1380 Park St, Orangeburg, South Carolina |
| Authorized Official Name and Position | David Ruple Hutto (DENTIST) |
| Authorized Official Contact | 8035369300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. David R. Hutto Dmd 1380 Park St Orangeburg SC 29115-4880 Ph: (803) 536-9300 | Dr. David R. Hutto Dmd 1380 Park St Orangeburg SC 29115-4880 Ph: (803) 536-9300 |
| NPI Number | 1417370933 |
|---|---|
| Provider Enumeration Date | 02/04/2014 |
| Last Update Date | 02/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417370933 | NPI | - | NPPES |
| ZX8232 | Medicaid | SC | |
| Z27043 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2074 (South Carolina) | Primary |
| 122300000X | Dentist | 8232 (South Carolina) | Secondary |
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