Provider Demographics
NPI:1861551343
Name:HOYLE, MARK B (DMD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:B
Last Name:HOYLE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2806 E NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29625-2300
Mailing Address - Country:US
Mailing Address - Phone:864-224-4552
Mailing Address - Fax:864-224-3351
Practice Address - Street 1:2806 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-2300
Practice Address - Country:US
Practice Address - Phone:864-224-4552
Practice Address - Fax:864-224-3351
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice