Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr MARK A CHISHOM in ELGIN, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI Number | 1417908328 |
|
| Status | Active | |
| Credentials | DMD (Doctor of Medical Dentistry) | |
| Entity | Individual | |
| Enumeration date | 05/15/2006 | |
| Last updated | 04/02/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MARK A CHISHOM
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MARK A CHISHOM, DMD