| Nicklas Dental | |
|
9565 Highway 78 Unit 600b Ladson SC 29456-4118 | |
| (843) 412-4036 | |
| Not Available |
| Full Name | Nicklas Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9565 Highway 78, Ladson, South Carolina |
| Authorized Official Name and Position | Patricia Nicklas (MEMBER/DENTIST) |
| Authorized Official Contact | 8434124036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicklas Dental 9565 Highway 78 Unit 600b Ladson SC 29456-4118 Ph: (843) 412-4036 | Nicklas Dental 9565 Highway 78 Unit 600b Ladson SC 29456-4118 Ph: (843) 412-4036 |
| NPI Number | 1558794396 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 08/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558794396 | NPI | - | NPPES |
| 1023230414 | Medicaid | SC | |
| ZX4626 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4626 (South Carolina) | Primary |
Ingleside Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9403 Highway 78, Suite 201, Ladson, SC 29456 Phone: 845-702-0581 | |
Charleston Oral Medicine, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Ingleside Blvd Ste 101, Ladson, SC 29456 Phone: 843-762-9028 | |
Heritage Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9598 Palmetto Commerce Parkway, Ladson, SC 29456 Phone: 860-573-5681 | |
Crane Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Bldg 600b, Ladson, SC 29456 Phone: 843-412-4036 |