| Tylan Creek Family Dentistry | |
|
2710 Highway 153 Piedmont SC 29673-6720 | |
| (864) 962-6671 | |
| (864) 962-6683 |
| Full Name | Tylan Creek Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2710 Highway 153, Piedmont, South Carolina |
| Authorized Official Name and Position | Darryl Lea Halbert (PRESIDENT) |
| Authorized Official Contact | 8646309103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tylan Creek Family Dentistry 2710 Highway 153 Piedmont SC 29673-6720 Ph: (864) 962-6671 | Tylan Creek Family Dentistry 2710 Highway 153 Piedmont SC 29673-6720 Ph: (864) 962-6671 |
| NPI Number | 1144648098 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144648098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2867 (South Carolina) | Primary |
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