William C Hurst, Sr., D.m.d., P.c., NPI 1063527745
Pediatric Dentist in Waycross, GA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1063527745 |
| NPI Entity Type | Organization |
| Provider Name | William C Hurst, Sr., D.m.d., P.c. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 410 Lister St, Waycross, GA, US |
| Provider Mailing Address | 6578 Hurst Ln, Blackshear, GA, US, 315161173 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. Pam C Hurst |
| Official Position | BUSINESS MANAGER |
| Phone | 912-285-1218 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pediatric Dentist |
| Classification | |
| Group | |
| License No. | 007191 |
| License State | GA |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 013177 | GA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 000067251B | GA | MEDICAID | 05 |
| 197090698A | GA | MEDICAID | 05 |
| 197090698B | GA | MEDICAID | 05 |
| 000067251C | GA | MEDICAID | 05 |
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