Individual provider · Type 1 NPI

Benjamin Theodore

General Practice Dentistry · Little River, SC

NPI number 1700705902 Active

Practice location

1247 Highway 17
Little River, SC 29566-9211

Call (843) 249-4092 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDGD.11518.GD (SC)

General Practice Dentistry: 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.

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About NPI 1700705902

Benjamin Theodore's National Provider Identifier is 1700705902, issued on Jul 13, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Little River, SC. The record was last updated on Jul 13, 2026.