Dr Dwight Delano Mcmillan Jr, DDS | |
939 Calhoun Drive, Orangeburg, SC 29115-6763 | |
(803) 531-0021 | |
Not Available |
Full Name | Dr Dwight Delano Mcmillan Jr |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 939 Calhoun Drive, Orangeburg, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932130606 | NPI | - | NPPES |
Z33330 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 3333 (South Carolina) | Primary |
Entity Name | Marian Mitchell Oliver Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972553881 PECOS PAC ID: 8729223300 Enrollment ID: O20130402000448 |
Mailing Address | Practice Location Address |
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Dr Dwight Delano Mcmillan Jr, DDS 939 John C Calhoun Drive, Orangeburg, SC 29115-6763 Ph: (803) 531-0021 | Dr Dwight Delano Mcmillan Jr, DDS 939 Calhoun Drive, Orangeburg, SC 29115-6763 Ph: (803) 531-0021 |
Dr. Safiyah J Salih, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 | |
Dr. L Jarrette Burckhalter Iv, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1643 Carolina Avenue, Orangeburg, SC 29115 Phone: 803-534-7525 Fax: 803-534-7526 | |
Dr. Randolph Charles Bryson, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1350 Grove Park Dr, Orangeburg, SC 29115 Phone: 803-387-0682 | |
Dr. Robert A. Varn, DMD Dentist Medicare: Medicare Enrolled Practice Location: 695 Laurel St, Orangeburg, SC 29115 Phone: 803-536-6440 Fax: 803-268-9921 | |
Dr. Melanie Anne Brown, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 888 Cook Rd, Orangeburg, SC 29118 Phone: 803-516-0777 | |
Clifton Jordan Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2197 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-531-1601 | |
Dr. Joseph Davin Bonavilla, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 888 Cook Rd, Orangeburg, SC 29118 Phone: 803-516-0777 Fax: 803-516-0577 |