Individual provider · Type 1 NPI

Mark G. Pelletier, DDS

General Practice Dentistry · Irmo, SC

NPI number 1013983626 Active

Practice location

900 Lake Murray Blvd, Suite 200
Irmo, SC 29063-2923

Call (803) 781-7901 Map

Fax (803) 749-1376

Mailing address

PO Box 1181
Irmo, SC 29063-1181

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XSC3232 (SC)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1013983626

Mark G. Pelletier, DDS's National Provider Identifier is 1013983626, issued on Feb 23, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Irmo, SC. The record was last updated on Jul 8, 2007.