Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ANTHONIE GOEDECKE, D.M.D., F.A.G.D
Active Sole ProprietorDR. MARK ANTHONIE GOEDECKE, D.M.D., F.A.G.D is a General Dentistry healthcare provider located in MT PLEASANT, South Carolina. NPI 1710916713 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MT PLEASANT, SC
Registration Details
- NPI Number
- 1710916713
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2006 (20.082745246372 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3498 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
709 LONG POINT RD STE BMT PLEASANT, SC, 294648287Browse SC providers · Browse ZIP 29464
- Phone
- 8439719594
- Fax
- 8439713034
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MT PLEASANT, SC
| Name | Credential | NPI |
|---|---|---|
| DR. EDNA KLATT DEPAUL | D.M.D. | 1861498180 |
| DR. CORY TAYLOR ALLEN | DMD | 1427000918 |
| DAVID G BOWENS | — | 1912947128 |
| DR. ERIC CONRAD HORECKY | D.M.D. | 1417027152 |
| MR. GREGORY R JOHNSON | DDS | 1083775423 |
| MR. RICHARD J JACKOWSKI | DDS | 1932260361 |
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.