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Contact Information

C FRED MARCINAK DMD PA
102 LUSK DRIVE
WEST UNION, SC29696
 Phone: 864-638-7228
 Fax: 864-718-7162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for C FRED MARCINAK DMD PA · (Female)

NPI # 1164583183
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 2195
  • SC Medicaid 002195
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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