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

Dr. Mark Jackson Mizzell Jr., DMD

Individual provider General Practice Dentistry · NPI 1376982397

Dr. Mark Jackson Mizzell Jr., DMD is a General Practice Dentistry in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2013.

Licensed in
SC
In the registry since
2013
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

7701 White Horse Rd
Greenville, SC 29611-1827
Phone: (864) 246-1811
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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 8228 (SC)

Record details

NPI number1376982397
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 24, 2013
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

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