Kirk E Houston DMD PA

Organization Active NPI Prosthodontics · Lyman, SC

NPI 1750009478 · NPPES record last updated Aug 18, 2022

Key facts

NPI
1750009478
Entity type
Organization (NPI type 2)
Primary specialty
Prosthodontics 1223P0700X
Legal business name
KIRK E HOUSTON DMD PA
Practice address
12313 Greenville Hwy
Lyman, SC 29365-1515
Phone
(864) 439-3322
Fax
(864) 949-3953
NPI assigned
Aug 18, 2022
Organization subpart
No

Authorized official

Name
Kirk Edward Houston, DMD
Title
Ceo
Phone
(864) 439-3322

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Kirk E Houston DMD PA (2 organizations share this tax ID)

Locations

12313 Greenville Hwy
Lyman, SC 29365
Phone (864) 439-3322

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics
Group: 193400000X SINGLE SPECIALTY GROUP
1223P0700X Yes

Addresses

Primary practice location

12313 Greenville Hwy
Lyman, SC 29365-1515

Mailing address

12313 Greenville Hwy
Lyman, SC 29365-1515
Phone (864) 439-3322

Other names

  • Palmetto Smiles Prosthetic Dentistry Doing business as

Other providers in Lyman, SC

All providers in Lyman, SC · Prosthodontics in South Carolina

Sources for this page

Verify at the official NPI Registry.