Mark Griffith Larue in Charleston - Dentist

Mark Griffith Larue - NPI 1841382520

Mark Griffith Larue is a Dentist in Charleston, South Carolina. Mark Griffith Larue practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Griffith Larue is 1841382520. The last update date is 2007-07-08.

Mark Griffith Larue's current location address is 2011-a Bees Ferry Road, Charleston, South Carolina. You can contact this provider via phone number 8438520780 and fax number 8438520788. The mailing address for Mark Griffith Larue is 2011-a Bees Ferry Road, Charleston, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Griffith Larue
Address 2011-a Bees Ferry Road, Charleston, South Carolina
Phone Number 8438520780
Fax Number 8438520788
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1841382520
Provider Enumeration Date 2006-09-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2011-a Bees Ferry Road
City Charleston
State South Carolina (SC)
Post Code 29414
Phone Number 8438520780
Fax Number 8438520788

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 3225
Definition:
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: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
232251 SC --
Z32251 SC --

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FAQs about Mark Griffith Larue

What is the Mark Griffith Larue's 1841382520?

The Mark Griffith Larue's NPI (National Provider Identifier) Number is 1841382520. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mark Griffith Larue is located?

The Mark Griffith Larue is situated at the following address: 2011-A Bees Ferry Road, Charleston, SC, 29414.

What is Mark Griffith Larue's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Griffith Larue is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date did Mark Griffith Larue receive its 1841382520 assignment from the Centers for Medicare & Medicaid Services?

The Mark Griffith Larue was assigned its 1841382520 on 2006-09-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Mark Griffith Larue's details last updated?

The information pertaining to the Mark Griffith Larue, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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