Marian Mitchell Oliver Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

3333 Issued in SC

Legal business name

MARIAN MITCHELL OLIVER CORPORATION

Doing business as

McMillan Dental Care

Practice address

939 John C. Calhoun Drive
Orangeburg, SC 29115

Phone

(803) 531-0021

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dwight Delano McMillan Jr., DDSNPI 1932130606

Title

President

Phone

(803) 531-0021

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McMillan Dental Care Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699747200000",
    "number": "1972553881",
    "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": "29115",
            "telephone_number": "803-531-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 JOHN C. CALHOUN DRIVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29115",
            "telephone_number": "803-531-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN MITCHELL OLIVER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "DELANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-531-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9906",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McMillan Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McMillan Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy D. Macpherson, M.D.
• Tanvir Mahtab, MD
• Rondria Manigault
• Savannah Silvers Marchant, DNP, FNP
• Mary Grace Mares, NP
• Ouida Marine
• David Kenneth Marple, DDS
• James Paul Marro, M.D.
• Ashlee Marshall
• Kelsey Rose Martel, DNP, APRN, FNP-BC

• Dentist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.