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C FRED MARCINAK DMD PA
NPI 1164583183
Dentist in West Union, SC

Active since December 13, 2006
102 LUSK DRIVE, WEST UNION, SC 29696(864) 638-7228(864) 718-7162 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About C Fred Marcinak Dmd Pa NPPES

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

C FRED MARCINAK DMD PA (NPI 1164583183) is a healthcare organization registered as a dentist in West Union, South Carolina and active in the NPI registry since December 2006. The organization lists C Fred Marcinak, Dentist President, as its authorized official.

NPPES Registry Identity

NPI1164583183
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameC FRED MARCINAK DMD PA
Location Address102 LUSK DRIVEWest Union, SC 29696
Mailing AddressPo Box 648Walhalla, SC 29691 · (864) 638-7228 · Fax (864) 718-7162
Phone(864) 638-7228
Fax(864) 718-7162
Organization SubpartNo
Authorized OfficialC Fred MarcinakDentist President · (864) 638-7228
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164583183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 2195
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.
102 LUSK DRIVE, West Union, SC 29696
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Other Identifiers 1

Medicaid002195SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 C Fred Marcinak Dmd PA's NPI number?

The NPI number for C Fred Marcinak Dmd PA is 1164583183. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is C Fred Marcinak Dmd PA located?

C Fred Marcinak Dmd PA is located at 102 Lusk Drive, West Union, SC 29696. The listed phone number is (864) 638-7228.

What is C Fred Marcinak Dmd PA's specialty?

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

When was this NPI record last updated?

The NPPES record for C Fred Marcinak Dmd PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.