| Dr Nikolas Kenneth Diederich, DMD | |
|
1267 38th Ave N Spc 219, Myrtle Beach, SC 29577-1313 | |
| (843) 491-5963 | |
| Not Available |
| Full Name | Dr Nikolas Kenneth Diederich |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1267 38th Ave N Spc 219, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154175818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13909577-9923 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nikolas Kenneth Diederich, DMD 1894 E Wagstaff Dr, Salt Lake City, UT 84117-5165 Ph: (801) 931-8322 | Dr Nikolas Kenneth Diederich, DMD 1267 38th Ave N Spc 219, Myrtle Beach, SC 29577-1313 Ph: (843) 491-5963 |
Dr. William Christopher Harding Iv, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 100 Debo Dr, Myrtle Beach, SC 29579 Phone: 843-236-8848 Fax: 843-236-8857 | |
Juan Faja-fernandez, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 Surgeons Drive, Myrtle Beach, SC 29579 Phone: 843-206-1116 | |
Dr. Will Abdelmalik, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1209 N Retail Ct, Myrtle Beach, SC 29577 Phone: 843-874-4060 | |
Dr. Justin Dammann, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 Pennington Loop, Myrtle Beach, SC 29588 Phone: 843-446-3664 | |
Dr. Vasilios Pournaras, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1211 44th Ave. N., Suite 100, Myrtle Beach, SC 29577 Phone: 843-449-3161 Fax: 843-449-9785 | |
Johnathan T Steppe, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 568 International Drive, Myrtle Beach, SC 29579 Phone: 217-540-5100 | |
Tiffiany Gosnell, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1430 S Commons Dr, Myrtle Beach, SC 29588 Phone: 843-712-7308 |