Individual provider · Type 1 NPI

Mark Jackson Mizzell Jr., DMD

General Practice Dentistry · Greenville, SC

NPI number 1376982397 Active

About NPI 1376982397

Mark Jackson Mizzell Jr., DMD's National Provider Identifier is 1376982397, issued on Jun 24, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Greenville, SC. The record was last updated on Aug 17, 2023.