Home » South Carolina » 29696 » C Fred Marcinak Dmd Pa

C Fred Marcinak Dmd Pa

C Fred Marcinak Dmd Pa is a health care provider in Walhalla, SC. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 102 Lusk Drive, West Union, SC 29696, US
Practice Location Phone864-638-7228
Practice Location Fax864-718-7162
Legal Business NameC FRED MARCINAK DMD PA
NPI ?1164583183
Entity TypeOrganization
Enumeration Date ? Dec 13, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of C Fred Marcinak Dmd Pa

SpecialtySpecializationLicenseLicense State
Dentist 2195South Carolina

legacy-id-icon Legacy Provider IDs of C Fred Marcinak Dmd Pa

Provider IdIssuer StateIssuer TypeIssuer
002195South CarolinaMedicaid

official-icon Authorized Official of C Fred Marcinak Dmd Pa

An authorized official is an appointed official with the legal authority to make changes and/or updates to the C Fred Marcinak Dmd Pa's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. C Fred Marcinak (DMD)
Authorized Official Title/PositionDENTIST PRESIDENT
Authorized Official Phone Number864-638-7228