| Wesmark Family Dentistry Of Sumter, Pc | |
|
360 W Wesmark Blvd Sumter SC 29150-1977 | |
| (803) 469-2060 | |
| (803) 469-2073 |
| Full Name | Wesmark Family Dentistry Of Sumter, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 360 W Wesmark Blvd, Sumter, South Carolina |
| Authorized Official Name and Position | Russell Charles Hurst (PRESIDENT/OWNER) |
| Authorized Official Contact | 8034692060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wesmark Family Dentistry Of Sumter, Pc 360 W Wesmark Blvd Sumter SC 29150-1977 Ph: (803) 469-2060 | Wesmark Family Dentistry Of Sumter, Pc 360 W Wesmark Blvd Sumter SC 29150-1977 Ph: (803) 469-2060 |
| NPI Number | 1396797320 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396797320 | NPI | - | NPPES |
| ZA9689 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | SC2501 (South Carolina) | Primary |
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