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

Dr. Mark Anthony Chishom, DMD

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1417908328

Dr. Mark Anthony Chishom, DMD is an Oral & Maxillofacial Surgery (D.M.D.) in Elgin, South Carolina. Licensed in Georgia and South Carolina. Registered with an NPI since 2006.

Licensed in
GA, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

102 Buckthorn Cir
Elgin, SC 29045-8695
Phone: (803) 477-4909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 3253 (SC)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DN014013 (GA)

Record details

NPI number1417908328
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESApril 2, 2015
Mailing address102 Buckthorn Cir, Elgin, SC 29045-8695