Marla T McMahon DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3332 Issued in SC

Legal business name

MARLA T MCMAHON DMD LLC

Practice address

198 Rutledge Ave
#3
Charleston, SC 29403-5817

Phone

(843) 723-5405

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Marla Teresa McMahon, DMD

Title

General Dentist Practice Owner

Phone

(843) 723-5405

Specialties & licenses 1

Addresses

Other names 1

• Marla T McMahon Simmons Other name

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1710005574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 RUTLEDGE AVE",
            "address_2": "#3",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035817",
            "telephone_number": "843-723-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 RUTLEDGE AVE",
            "address_2": "#3",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035817",
            "telephone_number": "843-723-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLA T MCMAHON DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "GENERAL DENTIST PRACTICE OWNER",
        "authorized_official_telephone_number": "843-723-5405",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marla T McMahon Simmons",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark P. Rollins MD of South Carolina PC
• Dale Eugene Marko, MD, PHD
• Toby W Markowitz, RN
• Benjamin Marks, LCSW
• Tori Marks, PA-C
• Amanda M Marley, LISW-CP
• Celine Rose Marlin Andrews, MD
• Taylor Marlow
• Troy J Marlow, MD
• Ross Marnock, DO

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.