Tylan Creek Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2867 Issued in SC

Legal business name

TYLAN CREEK FAMILY DENTISTRY

Practice address

2710 Highway 153
Piedmont, SC 29673-6720

Phone

(864) 962-6671

Fax

(864) 962-6683

NPI assigned

Mar 28, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Darryl Lea Halbert, D.M.D

Title

President

Phone

(864) 630-9103

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1144648098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736720",
            "telephone_number": "864-962-6671",
            "fax_number": "864-962-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736720",
            "telephone_number": "864-962-6671",
            "fax_number": "864-962-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLAN CREEK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "HALBERT",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-630-9103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Piedmont, SC
• Providers in Piedmont, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.