MARIAN MITCHELL OLIVER CORP. (NPI# 1417309956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417309956 |
| Entity Type | Organization |
| Organization Name | MARIAN MITCHELL OLIVER CORP. |
| Other Organization Name | MCMILLAN DENTAL |
| Practice Address |
939 Jc Calhoun Drive Orangeburg SC 29115 |
| Practice Telephone | 8035310021 |
| Mailing Telephone | 8035310021 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |
| Authorized Official Name | DR. DWIGHT MCMILLAN JR. (PRESIDENT) |
| Authorized Official Telephone | 8037078660 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | MMOC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3333 | SC | Dental Providers |
| Y | 122300000X | Dentist | 3333 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PTAN | C236 | 01 |
| SC | ZA9906 | 05 |
| Other Name | Type Code |
|---|---|
| McMillan Dental | Doing Business As Name - Organization |
| Street Address |
939 JC CALHOUN DRIVE |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
| 1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
| 1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
| 1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
| 1922344381 | Jennifer Theros-clarke | Hearing Instrument Specialist | 1180 Boulevard St, Suite C, Orangeburg, SC 29115 | 2012-12-12 |
| Find all providers in zip 29115 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360024 | Affordable Dentures & Implants - Orangeburg, P.C. | Dentist | 1532 Saint Matthews Rd, Orangeburg, SC 29118-2437 | 2019-11-14 |
| 1659609147 | Samuel L Lambrecht | Dentist | 895 Summers Ave, Orangeburg, SC 29115-4852 | 2009-11-23 |
| 1972723815 | Jeremiah Morris Alston Jr. | Dentist | 1105 Cook Rd, Orangeburg, SC 29118-8204 | 2007-04-25 |
| 1962548297 | Roger Thomas Brown | Dentist | 3310 Magnolia St., Orangeburg, SC 29115-1466 | 2007-01-30 |
| 1043360175 | Jimmy L Gardner | Dentist | 161 Elliott Street, Orangeburg, SC 29115 | 2007-01-11 |
| 1538231253 | Evan M Kurtz | Dentist | 523 Route 303, Orangeburg, NY 10962-1316 | 2006-11-15 |
| 1962571687 | Mona Tw Ellis | Dentist | 1289 Boulevard St, Orangeburg, SC 29115-3401 | 2006-11-07 |
| 1528174695 | David R Hutto | Dentist | 1380 Park St, Orangeburg, SC 29115-4880 | 2006-08-22 |
| 1972553881 | Marian Mitchell Oliver Corporation | Dentist | 939 John C. Calhoun Drive, Orangeburg, SC 29115 | 2006-05-11 |
| 1083662415 | Clifton Jordan IIi | Dentist | 2197 Saint Matthews Rd, Orangeburg, SC 29118-2038 | 2006-05-05 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 29115 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.