DR. KEITH WICKIZER, D.M.D., M.S., A.B.O.
Dentist - Orthodontics and Dentofacial Orthopedics
Active
Individual
NPI: 1932198801
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 4227 (SC) |
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | Yes | 0657 (SC) |
Frequently Asked Questions
NPI 1932198801 is the National Provider Identifier for DR. KEITH WICKIZER, D.M.D., M.S., A.B.O., a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Summerville, SC. This NPI was enumerated on October 13, 2005.
DR. KEITH WICKIZER, D.M.D., M.S., A.B.O. practices at 100 OMALLEY DR UNIT B, Summerville, SC 29483.
Quick Facts
- NPI
- 1932198801
- Type
- Individual
- Enumerated
- Oct 13, 2005
- Last Updated
- Apr 15, 2008
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