Individual
RICHARD S MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5 PROFESSIONAL CT, SUMTER, SC 29150-1927
(803) 469-2044
(803) 469-2148
Mailing address
5 PROFESSIONAL CT, SUMTER, SC 29150-1927
(803) 469-2044
(803) 469-2148
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2196
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z21968
—
SC
Enumeration date
05/08/2006
Last updated
08/11/2009
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