Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark G. Pelletier, DDS, PA

Organization General Practice Dentistry · NPI 1174797526

Mark G. Pelletier, DDS, PA is a General Practice Dentistry in Irmo, South Carolina. Licensed in South Carolina. Registered with an NPI since 2008.

Licensed in
SC
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Lake Murray Blvd
Irmo, SC 29063-2923
Phone: (803) 781-7901
Fax: (803) 749-1376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3232 (SC)

Record details

NPI number1174797526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Pelletier — President/Dentist · (803) 781-7901
Other names Premier Aesthetic Dentistry
NPI enumeratedApril 16, 2008
Last updated in NPPESApril 16, 2008
Mailing addressPo Box 1181, Irmo, SC 29063-1181

Other providers in Irmo