Benjamin Theodore

NPI 1700705902 · on the registry since 2026

Practice

Address: 1247 Highway 17
Little River, SC 29566
Phone: (843) 249-4092
Organisation at this address: Coastal Cosmetic Dental Associates,
Dental Professionals Of South Carolina, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina