DR. C FRED MARCINAK JR. DMD
NPI 1396862173
Dentist - General Practice in West Union, SC

Active since March 25, 2007
102 LUSK DR, WEST UNION, SC 29696(864) 638-7733 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. C Fred Marcinak Jr. Dmd NPPES

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

DR. C FRED MARCINAK JR. DMD (NPI 1396862173) is an individual general practice provider in West Union, South Carolina, licensed in South Carolina (2195) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1396862173
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. C FRED MARCINAK JR.Credential: DMD
Location Address102 LUSK DRWest Union, SC 29696-2629
Mailing Address240 Windrush TrlWalhalla, SC 29691-4623 · (864) 638-7228
Sole ProprietorNo
Enumeration DateMarch 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1396862173 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 · 2195
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.
102 LUSK DR, West Union, SC 29696

Other Identifiers 1

Medicaid002195SC

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
102 LUSK DR
WEST UNION, SC 29696
Clinic/Center (Dental)
102 LUSK DR
WEST UNION, SC 29696
Dentist (General Practice)
102 LUSK DR
WEST UNION, SC 29696
Dentist (General Practice)
102 LUSK DR
WEST UNION, SC 29696
Dentist (General Practice)
102 LUSK DR
WEST UNION, SC 29696
Dentist (General Practice)
102 LUSK DR
WEST UNION, SC 29696

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 Marcinak's NPI number?

The NPI number for C Marcinak is 1396862173. It was assigned to this individual provider in the NPPES registry on March 25, 2007.

Where is C Marcinak located?

C Marcinak practices at 102 Lusk Dr, West Union, SC 29696. The listed phone number is (864) 638-7733.

What is C Marcinak'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 C Marcinak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.