Dwight Delano McMillan Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3333 Issued in SC

Practice address

939 Calhoun Drive
Orangeburg, SC 29115-6763

Phone

(803) 531-0021

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Howard University College of Dentistry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marian Mitchell Oliver Corporation

  dba McMillan Dental Care

  • Dentist
  • Orangeburg, SC
  • NPI 1972553881
  Medicare reassignment NPD Authorized official
• Mmo Investments LLC

  dba McDental Better Sleep

  • Durable Medical Equipment & Medical Supplies
  • Orangeburg, SC
  • NPI 1265247134
  NPD Authorized official
• Shinda LLC

  dba Osteognathic Surgical Center

  • Dental Clinic/Center
  • Orangeburg, SC
  • NPI 1730343435
  NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1932130606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 JOHN C CALHOUN DRIVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156763",
            "telephone_number": "803-531-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 CALHOUN DRIVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156763",
            "telephone_number": "803-531-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "DWIGHT",
        "middle_name": "DELANO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z33330",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark C McGannon, MD
• Lacey McKeowen, NP
• Margaret McLaurin
• John McMicking, CPO
• Adrienne Barron McMillan, OTR/L
• Karyney T McMillan, MA
• Michael James McMullen, M.D.
• Elaine Deloris McNeil, LISW-CP
• Megan Elizabeth McQueen Logan, MS, LAT, ATC, NREMT
• Mary McTeer

• General Practice Dentistry in Orangeburg, SC
• Providers in Orangeburg, 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 Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.