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Contact Information

MARK L MCINNIS, DMD
201 FRONTAGE RD
STE 1
CLEMSON, SC29631
 Phone: 864-654-7534
 Fax: 864-654-4830
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for MARK L MCINNIS · (Male)

NPI Number 1184682585
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/03/2006
Last updated 01/11/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 0504
  • SC License # 3514
  • SC License # 3514 SPEC 0504
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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