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PREMIER AESTHETIC DENTISTRY
NPI 1174797526
Dentist - General Practice in Irmo, SC

Active since April 16, 2008
900 LAKE MURRAY BLVD, IRMO, SC 29063(803) 781-7901(803) 749-1376 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Aesthetic Dentistry NPPES

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

PREMIER AESTHETIC DENTISTRY (NPI 1174797526) is a healthcare organization registered as a general practice in Irmo, South Carolina and active in the NPI registry since April 2008. The organization lists Mark G. Pelletier, President/dentist, as its authorized official.

NPPES Registry Identity

NPI1174797526
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARK G. PELLETIER, DDS, PA
Location Address900 LAKE MURRAY BLVDIrmo, SC 29063-2923
Mailing AddressPo Box 1181Irmo, SC 29063-1181 · (803) 781-7901 · Fax (803) 749-1376
Phone(803) 781-7901
Fax(803) 749-1376
Organization SubpartNo
Authorized OfficialMark G. PelletierPresident/dentist · (803) 781-7901
Enumeration DateApril 16, 2008
✔ NPI 1174797526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 3232
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
900 LAKE MURRAY BLVD, Irmo, SC 29063
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Other Names 1

Other NamePremier Aesthetic Dentistry

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

Other Providers at the Same Location NPPES

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

MARK G. PELLETIER D.D.S.
Dentist (General Practice)
900 LAKE MURRAY BLVD, SUITE 200
IRMO, SC 29063
Lexington County (803) 781-7901

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 Mark G. Pelletier, Dds, PA's NPI number?

The NPI number for Mark G. Pelletier, Dds, PA is 1174797526. It was assigned to this organization in the NPPES registry on April 16, 2008. The provider is also known as Premier Aesthetic Dentistry.

Where is Mark G. Pelletier, Dds, PA located?

Mark G. Pelletier, Dds, PA is located at 900 Lake Murray Blvd, Irmo, SC 29063. The listed phone number is (803) 781-7901.

What is Mark G. Pelletier, Dds, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mark G. Pelletier, Dds, PA was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.