NPI 1104224906 · live from the CMS NPI Registry
Eniko K Macrae, D.M.D., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Greenville, SC. National Provider Identifier 1104224906, active.
NPI record
| NPI | 1104224906 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3 K Mart Plz, Greenville, SC 29605 |
| Practice phone | 864-236-4770 |
| Mailing address | 1090 Northchase Pkwy Se Ste 290, Marietta, GA 30067 |
| Enumerated | December 9, 2014 |
| Last updated | January 8, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DGD.8482 GD (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.