Organization Active NPI

Marlboro Family Dentistry Associates LLC

  • General Practice Dentistry
  • Bennettsville, SC
National Provider Identifier
1316710957
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARLBORO FAMILY DENTISTRY ASSOCIATES LLC
Practice address
500 E Main St
Bennettsville, SC 29512
Phone
(843) 479-4781
Fax
(843) 456-5089
NPI assigned
Nov 6, 2023
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Naida SingletonNPI 1477610509
Title
DMD
Phone
(843) 479-4781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

500 E Main St
Bennettsville, SC 29512

Mailing address

500 E Main St
Bennettsville, SC 29512
Phone (843) 479-4781

Other identifiers 1

IdentifierTypeStateIssuer
ZX3873MedicaidSC

National Provider Directory

National Provider Directory

Locations

500 E Main St
Bennettsville, SC 29512
Phone (843) 479-4085

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1316710957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "29512",
            "telephone_number": "843-479-4781",
            "fax_number": "843-456-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "29512",
            "telephone_number": "843-479-4781",
            "fax_number": "843-456-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO FAMILY DENTISTRY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "NAIDA",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "843-479-4781"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3873",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennettsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.