Provider Demographics
NPI:1407741200
Name:DINKINS, MADISON DANIELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:MADISON
Middle Name:DANIELLE
Last Name:DINKINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4135 OVERFLOW PT
Mailing Address - Street 2:
Mailing Address - City:REMBERT
Mailing Address - State:SC
Mailing Address - Zip Code:29128-9749
Mailing Address - Country:US
Mailing Address - Phone:910-587-0475
Mailing Address - Fax:
Practice Address - Street 1:1316 PINE LOG RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-1801
Practice Address - Country:US
Practice Address - Phone:803-232-7684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC141811223G0001X
SC110841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice