MOUNTAIN LAKES FAMILY DENTSTRY
NPI 1124304795
Dentist in Clemson, SC

Q: What is Ryan P. Macrae, LLC's NPI number?

The NPI number for Ryan P. Macrae, LLC is 1124304795. It was assigned to this organization in the NPPES registry on October 27, 2011. The provider is doing business as Mountain Lakes Family Dentstry.

Q: What is Ryan P. Macrae, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since October 27, 2011

635 OLD GREENVILLE HWY, CLEMSON, SC 29631(864) 722-9255 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mountain Lakes Family Dentstry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN LAKES FAMILY DENTSTRY (NPI 1124304795) is a healthcare organization registered as a dentist in Clemson, South Carolina and active in the NPI registry since October 2011. The organization lists Ryan Patrick Macrae, Dentist-owner, as its authorized official.

NPPES Registry Identity

NPI1124304795

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameRYAN P. MACRAE, LLC

Location Address635 OLD GREENVILLE HWYClemson, SC 29631-1219

Mailing Address635 Old Greenville HwyClemson, SC 29631-1219 · (864) 722-9255

Phone(864) 722-9255

Organization SubpartNo

Authorized OfficialRyan Patrick MacraeDentist-owner · (864) 722-9255

Enumeration DateOctober 27, 2011

Last NPPES UpdateMarch 7, 2023

✔ NPI 1124304795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in SC · 4031

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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

635 OLD GREENVILLE HWY, Clemson, SC 29631

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Other Names 1

Doing Business AsMountain Lakes Family Dentstry

Other Identifiers 2

Medicaid2X4031SC

Other4031SC · License#

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RYAN PATRICK MACRAE D.M.D.

Dentist (General Practice)

635 OLD GREENVILLE HWY
CLEMSON, SC 29631

Pickens County (864) 722-9255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan P. Macrae, LLC's NPI number?

The NPI number for Ryan P. Macrae, LLC is 1124304795. It was assigned to this organization in the NPPES registry on October 27, 2011. The provider is doing business as Mountain Lakes Family Dentstry.

Where is Ryan P. Macrae, LLC located?

Ryan P. Macrae, LLC is located at 635 Old Greenville Hwy, Clemson, SC 29631. The listed phone number is (864) 722-9255.

What is Ryan P. Macrae, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Ryan P. Macrae, LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Ryan P. Macrae, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan P. Macrae, LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.