J. Wade Nichols Dmd, Pa in Myrtle Beach - Endodontics
J. Wade Nichols Dmd, Pa - NPI 1851516884
J. Wade Nichols Dmd, Pa is a Endodontics in Myrtle Beach, South Carolina. J. Wade Nichols Dmd, Pa practices all healthcare services and medical treatments related to Endodontics. The NPI Number for J. Wade Nichols Dmd, Pa is 1851516884. The last update date is 2020-08-22.
J. Wade Nichols Dmd, Pa's current location address is 4605 Oleander Dr, Myrtle Beach, South Carolina. You can contact this provider via phone number 8435545300 and fax number 8435541067. The mailing address for J. Wade Nichols Dmd, Pa is 4605 Oleander Dr, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | J. Wade Nichols Dmd, Pa |
|---|---|
| Address | 4605 Oleander Dr, Myrtle Beach, South Carolina |
| Phone Number | 8435545300 |
| Fax Number | 8435541067 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS. COORD |
|---|---|
| Authorized Official Name | Dibenedetto Sharon |
| Telephone Number | 8435545300 |
NPI Number Detail
| NPI Number | 1851516884 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4605 Oleander Dr |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295775739 |
| Phone Number | 8435545300 |
| Fax Number | 8435541067 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | SC1956 |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SC19560 | SC | -- | |
| ZA9681 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to J. Wade Nichols Dmd, Pa by the Centers for Medicare & Medicaid Services (CMS)?
The J. Wade Nichols Dmd, Pa has been assigned the NPI (National Provider Identifier) 1851516884. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where J. Wade Nichols Dmd, Pa is physically located?
The J. Wade Nichols Dmd, Pa is situated at the following address: 4605 Oleander Dr, Myrtle Beach, SC 295775739.
What is J. Wade Nichols Dmd, Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for J. Wade Nichols Dmd, Pa is Endodontics, and the corresponding taxonomy classification code for this specialized field is 1223E0200X.
On what date did the J. Wade Nichols Dmd, Pa receive the assignment of its 1851516884 from the Centers for Medicare & Medicaid Services?
The J. Wade Nichols Dmd, Pa was issued its 1851516884 by the Centers for Medicare & Medicaid Services on 2007-04-16.
When was the information related to J. Wade Nichols Dmd, Pa most recently updated or refreshed?
The details pertaining to the J. Wade Nichols Dmd, Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.