TYLAN CREEK FAMILY DENTISTRY GREENWOOD; NPI #1891286613

Contact Information

TYLAN CREEK FAMILY DENTISTRY GREENWOOD

3710 HIGHWAY 221- 72E
GREENWOOD, SC 29649

Phone: 864-630-9103
Fax: 864-603-2201
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for TYLAN CREEK FAMILY DENTISTRY GREENWOOD

NPI # 1891286613

LBN Legal business name TYLAN CREEK FAMILY DENTISTRY GREENWOOD

Authorized official DARRYL HALBERT - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/29/2018

Last updated 08/09/2019 - About 7 years ago

Identifiers

SC	License #	2867
SC	Other	2867	DENTAL LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TYLAN CREEK FAMILY DENTISTRY GREENWOOD

Contact Information

Specialty

Dental

NPI Profile & details for TYLAN CREEK FAMILY DENTISTRY GREENWOOD

Reviews for TYLAN CREEK FAMILY DENTISTRY GREENWOOD