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Dr. Mark Anthony Chishom, DMD
Oral and Maxillofacial Surgery (Dentist) in Elgin, South Carolina
NPI 1417908328

Mark Anthony Chishom is a Oral and Maxillofacial Surgery (Dentist) based in Elgin, SC and is specialized in Oral and Maxillofacial Surgery. Mark Anthony Chishom practices in Elgin, SC and has the professional credentials of DMD. The NPI Number for Mark Anthony Chishom is 1417908328 and holds a License No. 3253 (South Carolina).

The current practice location address for Mark Anthony Chishom is 102 Buckthorn Cir, Elgin, SC and can be reached out via phone at 803-477-4909.

Location: 102 Buckthorn Cir, Elgin, SC, 29045-8695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417908328
Provider Name
Mark Anthony Chishom
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
102 Buckthorn Cir, Elgin, SC, 29045-8695
Phone Number
803-477-4909
Fax Number
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
117364 01 UNITED CONCORDIA
ZX3253 05 SC
institution
Provider Business Practice Location Address Details
Address
102 Buckthorn Cir
City
Elgin
State
South Carolina
Zip
29045-8695
Phone Number
803-477-4909
Fax Number
person
Provider Business Mailing Address Details
Address
102 Buckthorn Cir
City
Elgin
State
South Carolina
Zip
29045-8695
Phone Number
803-477-4909
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN014013 (Georgia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
3253 (South Carolina)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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