| Ryan Marcello, D.m.d, L.l.c. | |
|
103a Regency Commons Dr Greer SC 29650-5210 | |
| (864) 801-8877 | |
| (864) 801-8897 |
| Full Name | Ryan Marcello, D.m.d, L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103a Regency Commons Dr, Greer, South Carolina |
| Authorized Official Name and Position | Patrick Ryan Marcello (OWNER) |
| Authorized Official Contact | 8648018877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Marcello, D.m.d, L.l.c. 103a Regency Commons Dr Greer SC 29650-5210 Ph: (864) 801-8877 | Ryan Marcello, D.m.d, L.l.c. 103a Regency Commons Dr Greer SC 29650-5210 Ph: (864) 801-8877 |
| NPI Number | 1730235466 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 10/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730235466 | NPI | - | NPPES |
| ZA9660 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3609 (South Carolina) | Primary |
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