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CLARENDON SMILES FOR A LIFETIME
NPI 1619058591
Dentist - General Practice in Manning, SC

Active since October 18, 2006
16 WEINBERG ST, MANNING, SC 29102(803) 435-9555(803) 435-9157 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clarendon Smiles For A Lifetime NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARENDON SMILES FOR A LIFETIME (NPI 1619058591) is a healthcare organization registered as a general practice in Manning, South Carolina and active in the NPI registry since October 2006. The organization lists Georgia Bennett Famuliner, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1619058591
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWELVISTA
Location Address16 WEINBERG STManning, SC 29102-2629
Mailing Address16 Weinberg StManning, SC 29102-2629 · (803) 435-9555 · Fax (803) 435-9157
Phone(803) 435-9555
Fax(803) 435-9157
Organization SubpartNo
Authorized OfficialGeorgia Bennett FamulinerOperations Director · (803) 584-4803
Enumeration DateOctober 18, 2006
Last NPPES UpdateSeptember 20, 2017
✔ NPI 1619058591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
16 WEINBERG ST, Manning, SC 29102
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Other Names 1

Doing Business AsClarendon Smiles For A Lifetime

Other Identifiers 1

MedicaidZA9561SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER L GLASSEY DMD
Dentist (Dental Public Health)
16 WEINBERG ST
MANNING, SC 29102
Clarendon County (803) 435-9555
DR. DARBY SEXTON KELLEY DMD
Dentist (General Practice)
16 WEINBERG ST
MANNING, SC 29102
Clarendon County (803) 435-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Welvista's NPI number?

The NPI number for Welvista is 1619058591. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Clarendon Smiles For A Lifetime.

Where is Welvista located?

Welvista is located at 16 Weinberg St, Manning, SC 29102. The listed phone number is (803) 435-9555.

What is Welvista's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Welvista was last updated on September 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.