Prickett, Philip M

Prickett, Philip M is an individual health care provider with primary practice located at 1755 St. Julian Place , Columbia SC 29204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Prickett, Philip M can be contacted via phone (803) 254-2972.

Contact Information

Primary practice address
1755 St. Julian Place Columbia SC 29204
Phone: (803) 254-2972
Fax: (803) 799-2151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 3132 South Carolina

Profile Details

NPI number 1588629638
LBN Legal business name Prickett, Philip M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588629638 NPPES
South Carolina MEDICAID ZA31323

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