Individual
DR. PATRICK RYAN MARCELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
103A REGENCY COMMONS DR, GREER, SC 29650-5210
(864) 801-8877
(864) 801-8897
Mailing address
103A REGENCY COMMONS DR, GREER, SC 29650-5210
(864) 801-8877
(864) 801-8897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3609
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3609
—
SC
Enumeration date
01/04/2007
Last updated
12/23/2009
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