J. Wade Nichols Dmd, Pa

LBN: J. Wade Nichols Dmd, Pa
J. Wade Nichols Dmd, Pa is an health care organization with primary practice located at 4605 Oleander Dr , Myrtle Beach SC 29577-5739. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. J. Wade Nichols Dmd, Pa can be contacted via phone (843) 554-5300, or through Dibenedetto, Sharon via phone (843) 554-5300.

Contact Information

Primary practice address
4605 Oleander Dr Myrtle Beach SC 29577-5739
Phone: (843) 554-5300
Fax: (843) 554-1067
Website:
Map and Directions
Authorized official contact:
Name: Dibenedetto, Sharon
Phone: (843) 554-5300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X SC1956 South Carolina

Profile Details

NPI number 1851516884
LBN Legal business name J. Wade Nichols Dmd, Pa
DBA Doing business as
Authorized official Dibenedetto, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851516884 NPPES
South Carolina MEDICAID SC19560
South Carolina MEDICAID ZA9681

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