DR. Mark Langley Mcinnis, DMD

NPI #1184682585 in Clemson, South Carolina

Provider Information

NPI Number: 1184682585
Entity Type: Individual
Name: DR. Mark Langley Mcinnis, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 3, 2006
Last Updated: Jan 11, 2018

Practice Location

Address: 201 FRONTAGE RD
Address 2: STE 1
City: Clemson
State: South Carolina
ZIP Code: 29631
Phone: (864) 654-7534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist	122300000X	Primary

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