BENJAMIN THEODORE NPI 1700705902

NPI Information

  • NPI: 1700705902
  • Provider Name: BENJAMIN THEODORE
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 1247 HIGHWAY 17
    LITTLE RIVER, SC
    ZIP 29566
  • Phone: (843) 249-4092

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NPI Details

Benjamin Theodore is a general practice dentist in Little River, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Benjamin Theodore NPI is 1700705902. The provider is registered as an individual entity type.

The provider's business location address is:

1247 HIGHWAY 17
LITTLE RIVER, SC
ZIP 29566-211
Phone: (843) 249-4092

The enumeration date for this NPI number is 7/13/2026 and was last updated on 7/13/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDGD.11518.GDSOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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