Hurst, Russell Charles
Hurst, Russell Charles is an individual health care provider with primary practice located at 40 Wesmark Ct , Sumter SC 29150-1996. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hurst, Russell Charles can be contacted via phone (803) 469-2062.Contact Information
Primary practice address
40 Wesmark Ct
Sumter SC 29150-1996
Phone: (803) 469-2062
Fax: (803) 469-2063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2501 | South Carolina |
Profile Details
| NPI number | 1184849283 |
|---|---|
| LBN Legal business name | Hurst, Russell Charles |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Apr 20th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184849283 | NPPES |
| South Carolina | Other | 2501 | STATE LICENSE |
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