Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BENJAMIN THEODORE
NPI 1700705902
Dentist - General Practice in Little River, SC

Q: What is Benjamin Theodore's NPI number?

The NPI number for Benjamin Theodore is 1700705902. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Q: What is Benjamin Theodore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Benjamin Theodore was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.

Active since July 13, 2026

1247 HIGHWAY 17, LITTLE RIVER, SC 29566(843) 249-4092 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Benjamin Theodore NPPES

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

BENJAMIN THEODORE (NPI 1700705902) is an individual general practice provider in Little River, South Carolina, licensed in South Carolina (DGD.11518.GD) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1700705902

Entity TypeIndividual

Primary Taxonomy1223G0001X

Provider Legal NameBENJAMIN THEODORE

Location Address1247 HIGHWAY 17Little River, SC 29566-9211

Mailing Address1247 Highway 17Little River, SC 29566-9211

Phone(843) 249-4092

Sole ProprietorNo

Enumeration DateJuly 13, 2026

NPPES CertifiedJuly 13, 2026

✔ NPI 1700705902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · DGD.11518.GD

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.

1247 HIGHWAY 17, Little River, SC 29566

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Other Providers at the Same Location NPPES 3

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

COASTAL COSMETIC DENTAL ASSOCIATES,

Dentist (General Practice)

1247 HIGHWAY 17
LITTLE RIVER, SC 29566

Horry County (843) 249-4092

DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.

Dentist (General Practice)

1247 HIGHWAY 17
LITTLE RIVER, SC 29566

Horry County (843) 249-4092

DR. PATTY R VAN WIE DMD

Dentist (General Practice)

1247 HIGHWAY 17
LITTLE RIVER, SC 29566

Horry County (843) 249-4092

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 Benjamin Theodore's NPI number?

The NPI number for Benjamin Theodore is 1700705902. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Benjamin Theodore located?

Benjamin Theodore practices at 1247 Highway 17, Little River, SC 29566. The listed phone number is (843) 249-4092.

What is Benjamin Theodore'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 Benjamin Theodore was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.