Organization
MARIAN MITCHELL OLIVER CORPORATION
Active
Other names
McMillan Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT DELANO MCMILLAN JR. DDS (PRESIDENT)
(803) 531-0021
Entity
Organization
Contact information
Practice address
939 JOHN C. CALHOUN DRIVE, ORANGEBURG, SC 29115
(803) 531-0021
Mailing address
939 JOHN C. CALHOUN DRIVE, ORANGEBURG, SC 29115
(803) 531-0021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3333
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9906
—
SC
Enumeration date
05/11/2006
Last updated
11/12/2023
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