Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH STANLEY WICKIZER, D.M.D., M.S., A.B.O.
ActiveDR. KEITH STANLEY WICKIZER, D.M.D., M.S., A.B.O. is a Orthodontics healthcare provider located in SUMMERVILLE, South Carolina. NPI 1932198801 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · SUMMERVILLE, SC
Registration Details
- NPI Number
- 1932198801
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2005 (20.802850915462 yrs)
- Last Updated
- Apr 15, 2008
- Licenses
-
4227 (SC)0657 (SC)
Practice Information
- Address
-
100 OMALLEY DR UNIT BSUMMERVILLE, SC, 294835635Browse SC providers · Browse ZIP 29483
- Phone
- 8432610142
- Fax
- 8432610125
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in SUMMERVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| DR. ROLAND KIRK FULCHER | DMD | 1396803151 |
| KENNETH BRITT REAGIN | DMD | 1952568966 |
| DR. DENISE CARROLL SWASTY | DDS, MS | 1861653057 |
| DR. KATHRYN STROUD BULLWINKEL | DMD | 1790033777 |
| DR. EMORY MCALLISTER | DMD | 1639839582 |
| DUSTIN OSBORNE | DDS | 1194476630 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.