NPI 1417908328

Mark Anthony Chishom, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Elgin, SC

Practice location

Address: 102 Buckthorn Cir, Elgin, SC 29045-8695
Phone: (803) 477-4909

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 3253 (SC)

Other Oral & Maxillofacial Surgery providers in South Carolina →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence DN014013 (GA)

Other Dentist providers in South Carolina →

Registry record

NPI: 1417908328
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2006
Record last updated: 2 Apr 2015

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.