| Kirk E Houston Dmd Pa | |
| 12313 Greenville Highway Lyman SC 29365 | |
| (864) 439-3322 | |
| (864) 949-3953 | 
| Full Name | Kirk E Houston Dmd Pa | 
|---|---|
| Speciality | Dentist | 
| Location | 12313 Greenville Highway, Lyman, South Carolina | 
| Authorized Official Name and Position | Kirk Edward Houston (CEO) | 
| Authorized Official Contact | 8644393322 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kirk E Houston Dmd Pa 12313 Greenville Highway Lyman SC 29365 Ph: (864) 439-3322 | Kirk E Houston Dmd Pa 12313 Greenville Highway Lyman SC 29365 Ph: (864) 439-3322 | 
| NPI Number | 1194828657 | 
|---|---|
| Provider Enumeration Date | 09/07/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194828657 | NPI | - | NPPES | 
| ZA9592 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 03598 (South Carolina) | Primary | 
| Tyger River Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Spartanburg Hwy., Lyman, SC 29365 Phone: 864-439-4449 Fax: 864-439-5559 | |
| Cda Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Spartanburg Rd, Lyman, SC 29365 Phone: 864-439-1240 Fax: 864-439-1241 | |
| Tyger River Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 S Spartanburg Hwy, Lyman, SC 29365 Phone: 864-439-0023 Fax: 864-439-9112 | |
| Lyman Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Spartanburg Rd, Lyman, SC 29365 Phone: 864-439-1240 Fax: 864-439-1241 | |
| Lyman Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Old Spartanburg Rd., Lyman, SC 29365 Phone: 864-439-1240 Fax: 864-439-1241 | |
| Kirk E Houston Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12313 Greenville Hwy, Lyman, SC 29365 Phone: 864-439-3322 Fax: 864-949-3953 |