Provider Demographics
NPI:1346423282
Name:GARRETT E. HURT, D.D.S., P.C.
Entity Type:Organization
Organization Name:GARRETT E. HURT, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:EARNEST
Authorized Official - Last Name:HURT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-586-3215
Mailing Address - Street 1:423 E MAIN ST
Mailing Address - Street 2:P.O. BOX 448
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-2016
Mailing Address - Country:US
Mailing Address - Phone:540-586-3215
Mailing Address - Fax:549-586-3273
Practice Address - Street 1:423 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-2016
Practice Address - Country:US
Practice Address - Phone:540-586-3215
Practice Address - Fax:549-586-3273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401004433261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental