Individual
DR. MICHAEL A MCGINNIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1210 WILSON HALL RD, SUMTER, SC 29150-1889
(803) 905-4404
(803) 905-4406
Mailing address
1210 WILSON HALL RD, SUMTER, SC 29150-1889
(803) 905-4404
(803) 905-4406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3273
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
474
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
872701
UNITED CONCORDIA
—
01
—
88003121
BLUE CROSS BLUE SHIELD
AL
05
—
Z32732
—
SC
Enumeration date
04/17/2006
Last updated
09/11/2025
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