Dr Keith Stanley Wickizer, DMD, MS, ABO - Dentist in Summerville, SC

Dr Keith Stanley Wickizer, DMD, MS, ABO is a Dentist - Orthodontics And Dentofacial Orthopedics based in Summerville, South Carolina. Dr Keith Stanley Wickizer is licensed to practice in South Carolina (license number 0657) and his current practice location is 100 Omalley Dr Unit B, Summerville, South Carolina. He can be reached at his office (for appointments etc.) via phone at (843) 261-0142.

NPI number for Dr Keith Stanley Wickizer is 1932198801 and his current mailing address is 100 Omalley Dr Unit B, Summerville, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932198801.

Contact Information

Dr Keith Stanley Wickizer, DMD, MS, ABO
100 Omalley Dr Unit B,
Summerville, SC 29483-5635
(843) 261-0142
(843) 261-0125



Healthcare Provider's Profile

Full NameDr Keith Stanley Wickizer
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location100 Omalley Dr Unit B, Summerville, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932198801
  • Provider Enumeration Date: 10/13/2005
  • Last Update Date: 04/15/2008

Medical Identifiers

Medical identifiers for Dr Keith Stanley Wickizer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932198801NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 4227 (South Carolina)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 0657 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keith Stanley Wickizer is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Keith Stanley Wickizer, DMD, MS, ABO
100 Omalley Dr Unit B,
Summerville, SC 29483-5635

Ph: (843) 261-0142
Dr Keith Stanley Wickizer, DMD, MS, ABO
100 Omalley Dr Unit B,
Summerville, SC 29483-5635

Ph: (843) 261-0142

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› Verified 7 days ago


Dentist in Summerville, SC

Dr. Krista A Strange, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 508 N Pine St, Summerville, SC 29483
Phone: 843-376-2222    
Dr. Craig Newelle Little, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 403a W 4th North St, Summerville, SC 29483
Phone: 843-821-7583    Fax: 843-821-6355
Dr. Joseph Michael Serra, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 953 Orangeburg Rd, Summerville, SC 29483
Phone: 843-261-2001    
Dr. Valerie Elaine Mooney, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1724 State Rd Unit 4d, Summerville, SC 29486
Phone: 843-352-4454    Fax: 828-652-3690
Robert John Powers, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 101 Harth Pl, Summerville, SC 29485
Phone: 843-875-5111    Fax: 843-821-0532
Dr. Matthew Michael Willis, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 101 Morgan Pl, Summerville, SC 29485
Phone: 843-851-2951    
Dr. Deborah Elizabeth Haffner, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 402 Old Trolley Rd, Suite 109, Summerville, SC 29485
Phone: 843-821-2500    

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