OrganizationActive
Mark G. Pelletier, DDS, PA
NPI 1174797526 · General Practice Dentistry · Irmo, SC
Mark G. Pelletier, DDS, PA is a General Practice Dentistry organization in Irmo, SC (NPI 1174797526).
Provider details
- NPI number
- 1174797526
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mark Pelletier, President/Dentist(803) 781-7901
- License
- 3232 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
900 Lake Murray Blvd
Irmo, SC 29063-2923
Phone: (803) 781-7901
Fax: (803) 749-1376
Street-level locationGet directions
Mailing address
Po Box 1181
Irmo, SC 29063-1181
Other names (DBA / former)
- Other name
- Premier Aesthetic Dentistry
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2008-04-16
Frequently asked questions
- What is Mark G. Pelletier, DDS, PA's NPI number?
- Mark G. Pelletier, DDS, PA's National Provider Identifier (NPI) is 1174797526, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark G. Pelletier, DDS, PA?
- Mark G. Pelletier, DDS, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mark G. Pelletier, DDS, PA located?
- Mark G. Pelletier, DDS, PA's practice location on file with NPPES is 900 Lake Murray Blvd, Irmo, SC 29063-2923.
- What is Mark G. Pelletier, DDS, PA's phone number?
- The practice phone number listed in the NPPES registry for Mark G. Pelletier, DDS, PA is (803) 781-7901.
- Who is the authorized official for Mark G. Pelletier, DDS, PA?
- The authorized official listed on Mark G. Pelletier, DDS, PA's NPPES record is Mark Pelletier, President/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark G. Pelletier, DDS, PA's NPI active?
- Yes — Mark G. Pelletier, DDS, PA's NPI (1174797526) is active in the NPPES registry as of the last update on 2008-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.