Search › South Carolina › 1223X0400X
Keith Wickizer, D.M.D., M.S., A.B.O
NPI 1932198801 · on the registry since 2005
Practice
- Address
- 100 Omalley Dr Unit B
Summerville, SC 29483 - Phone
- (843) 261-0142
- Fax
- (843) 261-0125
- Organisation at this address
- Smile Center Of Knightsville
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 122300000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina