Organization Name: | WILLIAM C HURST, SR., D.M.D., P.C. |
NPI Number: | 1063527745 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAM C HURST (BUSINESS MANAGER) |
Mailing Address: | 410 Lister St Waycross |
State: | GA US |
Postal Code: | 315015226 |
Phone Number: | 9122851218 |
Fax Number: | 9122859518 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 09/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 013177 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |