| Dr Keith Stanley Wickizer, DMD, MS, ABO | |
|
100 Omalley Dr Unit B, Summerville, SC 29483-5635 | |
| (843) 261-0142 | |
| (843) 261-0125 |
| Full Name | Dr Keith Stanley Wickizer |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 100 Omalley Dr Unit B, Summerville, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932198801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4227 (South Carolina) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0657 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith Stanley Wickizer, DMD, MS, ABO 100 Omalley Dr Unit B, Summerville, SC 29483-5635 Ph: (843) 261-0142 | Dr Keith Stanley Wickizer, DMD, MS, ABO 100 Omalley Dr Unit B, Summerville, SC 29483-5635 Ph: (843) 261-0142 |
Dr. Krista A Strange, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 508 N Pine St, Summerville, SC 29483 Phone: 843-376-2222 | |
Dr. Craig Newelle Little, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 403a W 4th North St, Summerville, SC 29483 Phone: 843-821-7583 Fax: 843-821-6355 | |
Dr. Joseph Michael Serra, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 953 Orangeburg Rd, Summerville, SC 29483 Phone: 843-261-2001 | |
Dr. Valerie Elaine Mooney, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1724 State Rd Unit 4d, Summerville, SC 29486 Phone: 843-352-4454 Fax: 828-652-3690 | |
Robert John Powers, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Harth Pl, Summerville, SC 29485 Phone: 843-875-5111 Fax: 843-821-0532 | |
Dr. Matthew Michael Willis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Morgan Pl, Summerville, SC 29485 Phone: 843-851-2951 | |
Dr. Deborah Elizabeth Haffner, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 402 Old Trolley Rd, Suite 109, Summerville, SC 29485 Phone: 843-821-2500 |