Wesmark Family Dentistry of Sumter, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC2501 Issued in SC

Legal business name

WESMARK FAMILY DENTISTRY OF SUMTER, PC

Practice address

360 W Wesmark Blvd
Sumter, SC 29150-1977

Phone

(803) 469-2060

Fax

(803) 469-2073

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Russell Charles Hurst Jr., DMD

Title

President/Owner

Phone

(803) 469-2060

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396797320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501977",
            "telephone_number": "803-469-2060",
            "fax_number": "803-469-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501977",
            "telephone_number": "803-469-2060",
            "fax_number": "803-469-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESMARK FAMILY DENTISTRY OF SUMTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "803-469-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9689",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Wesmark Dental Health Center
• Wesmark Surgery Center Anesthesia
• Caryn McNaney West, OD
• Julie Ann West, PA-C
• Benjamin Wells Weston, MD
• Kaneisha Tierra Whack, MS, CACP

• General Practice Dentistry in Sumter, SC
• Providers in Sumter, 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 Aug 22, 2020; 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.