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Contact Information

MARLBORO FAMILY DENTISTRY ASSOCIATES LLC
500 E MAIN ST
BENNETTSVILLE, SC29512
 Phone: 843-479-4781
 Fax: 843-456-5089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MARLBORO FAMILY DENTISTRY ASSOCIATES LLC · (Female)

NPI # 1316710957
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2023
Last updated 11/06/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid ZX3873
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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