NPI 1013983626

Mark G. Pelletier, DDS

Practitioner General Practice Dentistry Irmo, SC

Practice location

Address: 900 Lake Murray Blvd Suite 200, Irmo, SC 29063-2923
Phone: (803) 781-7901
Fax: (803) 749-1376
Mailing address: PO Box 1181, Irmo, SC 29063-1181

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence SC3232 (SC)

Other Dentist providers in South Carolina →

Registry record

NPI: 1013983626
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.