Mcmillan Dental | |
939 Jc Calhoun Drive Orangeburg SC 29115 | |
(803) 531-0021 | |
Not Available |
Full Name | Mcmillan Dental |
---|---|
Speciality | Dentist |
Location | 939 Jc Calhoun Drive, Orangeburg, South Carolina |
Authorized Official Name and Position | Dwight Mcmillan (PRESIDENT) |
Authorized Official Contact | 8037078660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mcmillan Dental 939 Jc Calhoun Drive Orangeburg SC 29115 Ph: (803) 531-0021 | Mcmillan Dental 939 Jc Calhoun Drive Orangeburg SC 29115 Ph: (803) 531-0021 |
NPI Number | 1417309956 |
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Provider Enumeration Date | 07/08/2016 |
Last Update Date | 07/08/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417309956 | NPI | - | NPPES |
C236 | Other | SC | MEDICARE PTAN |
ZA9906 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3333 (South Carolina) | Primary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3333 (South Carolina) | Secondary |
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