C FRED MARCINAK DMD PA (NPI# 1164583183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164583183 |
| Entity Type | Organization |
| Organization Name | C FRED MARCINAK DMD PA |
| Practice Address |
102 Lusk Drive West Union SC 29696 |
| Mailing Address |
Po Box 648 Walhalla SC 29691 |
| Practice Telephone | 8646387228 |
| Practice Fax Number | 8647187162 |
| Mailing Telephone | 8646387228 |
| Mailing Fax Number | 8647187162 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. C FRED MARCINAK (DENTIST PRESIDENT) |
| Authorized Official Telephone | 8646387228 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2195 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 002195 | 05 |
| Street Address |
102 LUSK DRIVE |
| City | WEST UNION |
| State | SC |
| Zip Code | 29696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450075 | The Truth Outreach | Clinic/Center | 185 Cornerstone Drive, West Union, SC 29696 | 2015-10-27 |
| 1043470966 | Marie Maude Sussman | Nurse Practitioner | 1205 N Hwy 11, West Union, SC 29696 | 2008-06-13 |
| 1699955898 | Kimberly Hart Lauer | Physical Therapist | 148 Foothills Center Dr Ste 148&150, West Union, SC 29696 | 2007-11-06 |
| 1700814522 | Frederick Harold Alexander Jr. | Pharmacist | 180 Scenic Hwy, West Union, SC 29696 | 2006-06-29 |
| 1457535072 | Gregory Norwood Winburn | Physical Therapist | 148 Foothills Ctr Dr, Ste 148, West Union, SC 29696 | 2007-12-18 |
| 1588732572 | Jeffrey Wayne Pierce | Physical Therapist | 148 Foothills Ctr Dr, Ste 148, West Union, SC 29696 | 2006-11-30 |
| 1740295690 | Ingles Markets Inc | Pharmacy | 180 Scenic Hwy, West Union, SC 29696 | 2006-07-29 |
| 1366052490 | Casey Bishe | Physical Therapist | 148 Foothills Center Dr # 148, West Union, SC 29696-2518 | 2020-08-04 |
| 1528489671 | Thomas John Chestnut | Physical Therapist | 148 Foothills Center Dr Ste 148, West Union, SC 29696-2518 | 2013-12-16 |
| 1669575437 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 105 Foothills Center Dr, West Union, SC 29696-2518 | 2006-09-07 |
| Find all providers in zip 29696 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881617793 | Tamila Lyn Pendleton | Dentist | 7750 State Route 125, West Union, OH 45693-9636 | 2006-07-25 |
| 1518502152 | Nathan John Ewoldt | Dentist | 102 Lusk Dr, West Union, SC 29696-2629 | 2019-11-07 |
| 1831759489 | Carolina Oaks Oconee, LLC | Dentist | 153 Scenic Plaza Dr, West Union, SC 29696-2536 | 2019-06-17 |
| 1962065268 | Nicholas Parker Allen | Dentist | 153 Scenic Plaza Dr, West Union, SC 29696-2536 | 2019-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1396342762 | Leonard James Cochrane IIi | Dentist | 150 Bee St Apt 706, Charleston, SC 29401-5706 | 2020-10-07 |
| 1134735129 | Kidz Planet Pediatric Dentistry - Sda Pa | Dentist | 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434 | 2020-09-16 |
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1922624618 | Todays Dental At Lexington LLC | Dentist | 458 Old Cherokee Rd Ste 100, Lexington, SC 29072-6971 | 2020-06-18 |
| 1912522426 | Andrea Ballengee | Dentist | 4405 Highway 17, Murrells Inlet, SC 29576-5097 | 2020-06-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1750919718 | Destination Dental LLC | Dentist | 155 Deacon Tiller Ct Ste 101, Duncan, SC 29334-8880 | 2020-03-27 |
| 1194360024 | Affordable Dentures & Implants - Orangeburg, P.C. | Dentist | 1532 Saint Matthews Rd, Orangeburg, SC 29118-2437 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
| City | WEST UNION |
| Zip Code | 29696 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.