Provider Demographics
NPI:1922312750
Name:AYERS, MARIANNE ORR (DMD)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:ORR
Last Name:AYERS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7005 CALHOUN MEMORIAL HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-3566
Mailing Address - Country:US
Mailing Address - Phone:864-306-0800
Mailing Address - Fax:864-306-0801
Practice Address - Street 1:7005 CALHOUN MEMORIAL HWY STE B
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3566
Practice Address - Country:US
Practice Address - Phone:864-306-0800
Practice Address - Fax:864-306-0801
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC69041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice