Shinda LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHINDA LLC

Practice address

943 John C Calhoun Dr
Orangeburg, SC 29115

Phone

(803) 662-9398

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dwight McMillan Jr., DDSNPI 1932130606

Title

Manager

Phone

(803) 531-0750

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Osteognathic Surgical Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwight Delano McMillan Jr., DDS

  • General Practice Dentistry
  • Orangeburg, SC
  • NPI 1932130606
  NPD Authorized official

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1730343435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 JOHN C CALHOUN DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156763",
            "telephone_number": "803-937-4128",
            "fax_number": "880-937-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 JOHN C CALHOUN DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29115",
            "telephone_number": "803-662-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-531-0750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9197",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osteognathic Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Osteognathic Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shanita D Shaw, M.A CCC-SLP
• Taryn Blaine Shaw, MSN, APRN, PNP-PC
• Dennis J Shay, DC
• Lyle Shelver, M.D.
• Pravina B Sheth, MD
• Chunquitta Shingleton, MS, MA
• Barbara Warren Shirer, BARBARA
• Branna Kinard Shirer
• Teresa Yolanda Shivers, LICENSES
• Benita Jeannette Sholar

• Dental Clinic/Center in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.