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Mark Dorsey Wilson
General Practice Dentistry in Landrum, South Carolina
NPI 1629754080

Mark Dorsey Wilson is a General Practice Dentistry based in Campobello, SC and is specialized in General Practice. Mark Dorsey Wilson practices in Landrum, SC. The NPI Number for Mark Dorsey Wilson is 1629754080 and holds a License No. DGD10504 (South Carolina).

The current practice location address for Mark Dorsey Wilson is 1730 South Carolina - 14, Landrum, SC and can be reached out via phone at 864-457-3425.

Location: 1730 South Carolina - 14, Landrum, SC, 29322-8423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629754080
Provider Name
Mark Dorsey Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1730 South Carolina - 14, Landrum, SC, 29322-8423
Phone Number
864-457-3425
Fax Number
Provider Enumeration Date
06/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1730 South Carolina - 14
City
Landrum
State
South Carolina
Zip
29356
Phone Number
864-457-3425
Fax Number
person
Provider Business Mailing Address Details
Address
1730 South Carolina - 14
City
Landrum
State
South Carolina
Zip
29356
Phone Number
864-457-3425
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DGD10504 (South Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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