DR. MARK LANE MCENTIRE


Address: 173 Ashley Ave, Charleston, SC 29425-8908
Phone: 8437922880

DR. MARK LANE MCENTIRE (NPI# 1558595074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558595074
Entity Type Individual
Full Name DR. MARK LANE MCENTIRE
Credential D.M.D.
Practice Address 173 Ashley Ave
Charleston
SC 29425-8908
Mailing Address 1025 Riverland Woods Pl Apt 906
Charleston
SC 29412-4141
Practice Telephone 8437922880
Mailing Telephone 8039243857
Enumeration Date 2009-05-12
Last Update Date 2009-05-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
4488 SC Dental Providers

Other Providers MARK MCENTIRE

NPI Name Taxonomy Address Enumeration
1073626610 Mark Douglas Mcentire Physical Therapist 6499 Mason-montgomery Road, Suite D, Mason, OH 45040 2006-08-17

Office Location

Street Address 173 ASHLEY AVE
City CHARLESTON
State SC
Zip Code 29425-8908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053303966 Mullen O Coover Dentist 173 Ashley Ave, Bsb-335, Charleston, SC 29425-8908 2005-08-17
1093331472 Austin Anthony Hughes Dentist 173 Ashley Ave, Charleston, SC 29425-8908 2020-06-22
1205489739 Frances Gouldin Dentist 173 Ashley Ave, Charleston, SC 29425-8908 2019-07-23
1093105579 Timothy Rohde Dentist 173 Ashley Ave, Bsb 546, Msc 507, Charleston, SC 29425-8908 2015-02-04
1639593254 Medical University of South Carolina Dentist 173 Ashley Ave, Charleston, SC 29425-8908 2014-02-18
1194026153 Medical University of Sc Dentist 173 Ashley Ave, Charleston, SC 29425-8908 2010-11-08
1780902734 Jompobe Vuthiganon Dentist 173 Ashley Ave, Bsb Rm 546, Charleston, SC 29425-8908 2010-05-13
1902069271 Michael Kinon Lecholop Dentist 173 Ashley Ave, Charleston, SC 29425-8908 2008-07-08
1174708010 Frederick Thomas Moore Dentist 173 Ashley Ave, Bsb 249, Charleston, SC 29425-8908 2008-01-09
1952517161 Musc College of Dental Medicine Clinic/Center 173 Ashley Ave, Bsb 246, Charleston, SC 29425-0001 2007-05-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922607217 Krishna Bhandari Thoracic Surgery (Cardiothoracic Vascular Surgery) 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 2020-10-19
1649892456 Mary Macrae Lynch Social Worker 179 Ashley Avenue, Charleston, SC 29425 2020-05-14
1528600053 Amanda Watts Physician Assistant 135 Rutledge Ave. Msc 561, Charleston, SC 29425 2019-10-16
1851945497 Kacy Wonder Dentist 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 2019-08-01
1477114569 Justin Robert Silverman Surgery 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 2019-06-28
1740840024 Tyler Buckley Surgery 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 2019-06-18
1366001760 Rayphael Sebastian Hardy Internal Medicine 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 2019-06-10
1437718889 Samar Medani Internal Medicine Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 2019-06-10
1427617950 Emily Suzanne Nyers Internal Medicine 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 2019-06-09
1790343564 Alan Cowei Peh Psychiatry & Neurology 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 2019-06-05
Find all providers in zip 29425

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487184727 Hillary Nona Wright Dentist 1064 Gardner Rd Ste 110, Charleston, SC 29407-5711 2017-06-19
1134472426 Jeffrey J Laro Dentist 2090 Charlie Hall Blvd, Suite 100, Charleston, SC 29414-8200 2012-10-24
1407117385 Kara Grasso Veeder Dentist 173 Ashley Ave Ste 119, Charleston, SC 29425-8908 2012-06-06
1013288786 Periodontal Associates LLC Dentist 33 Gamecock Ave Ste A, Charleston, SC 29407-3397 2012-01-26
1508089301 Christine Marie Cole Dentist 520 Stone Creek Dr, Charleston, SC 29414-5051 2007-04-10
1457476566 Christopher Jude Caputo Dentist 33a Gamecock Ave, Periodontal Associates, Pa, Charleston, SC 29407-3369 2007-03-20
1669530994 Joe William Krayer Dentist 173 Ashley Bsb 346, Dental Faculty Prac College of Dental Medicine Musc, Charleston, SC 29425 2006-12-06
1629585880 Renata Serricchio Leite Dentist 29 Bee Street, Charleston, SC 29425-0001 2018-01-09
1740646769 Trident Dental Specialty Partners Dentist 6335 Dorchester Rd, Charleston, SC 29418-5103 2016-01-06
1114332921 Zachary P Evans Dentist 1064 Gardner Rd, Suite #110, Charleston, SC 29407-5768 2014-07-01
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 29425

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Dataset Information

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.

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