Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK G. PELLETIER, D.D.S.

Active

MARK G. PELLETIER, D.D.S. is a General Dentistry healthcare provider located in IRMO, South Carolina. NPI 1013983626 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · IRMO, SC

Registration Details

NPI Number: 1013983626
Provider Type: Individual
Gender: Male
NPI Issued: Feb 23, 2006 (20.444236210997 yrs)
Last Updated: Jul 8, 2007
License: SC3232 (SC)

Practice Information

Address: 900 LAKE MURRAY BLVD

SUITE 200

IRMO, SC, 290632923
Browse SC providers · Browse ZIP 29063
Phone: 8037817901
Fax: 8037491376
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in IRMO, SC

Name	Credential	NPI
DR. ANTHONY CHARLES MARTIN	D.M.D.	1326154170
DR. WILLIAM AUGUSTINE BURN III	DMD	1457441297
DR. FRANK MCCUTCHEON SAWYER	D.M.D.	1184789711
DR. GEORGE FRANKLIN CAUSEY JR.	DMD	1730245481
DR. RALPH EDWARD TAYLOR JR.	DMD	1982754206
MICHELLE LYNNE MISTELE	D.M.D.	1043350507

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.