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Dr. Mark Lane Mcentire, DMD
Periodontist in Charleston, South Carolina
NPI 1558595074

Mark Lane Mcentire is a Periodontist based in Charleston, SC and is specialized in Periodontics. Mark Lane Mcentire practices in Charleston, SC and has the professional credentials of DMD. The NPI Number for Mark Lane Mcentire is 1558595074 and holds a License No. 4488 (South Carolina).

The current practice location address for Mark Lane Mcentire is 173 Ashley Ave, Charleston, SC and can be reached out via phone at 843-792-2880.

Location: 173 Ashley Ave, Charleston, SC, 29412-4141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558595074
Provider Name
Mark Lane Mcentire
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
173 Ashley Ave, Charleston, SC, 29412-4141
Phone Number
843-792-2880
Fax Number
Provider Enumeration Date
05/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
173 Ashley Ave
City
Charleston
State
South Carolina
Zip
29425-8908
Phone Number
843-792-2880
Fax Number
person
Provider Business Mailing Address Details
Address
173 Ashley Ave
City
Charleston
State
South Carolina
Zip
29425-8908
Phone Number
843-792-2880
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
4488 (South Carolina)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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