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Organization
PHILIP PRICKETT/ MT. PLEASANT ORAL FACIAL & IMPLANT
Active
Organization
PHILIP PRICKETT/ MT. PLEASANT ORAL FACIAL & IMPLANT
Active
Other names
Low Country Oral Facial & Implant
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP M PRICKETT D.M.D. (PHYSICIAN)
(843) 971-0041
Entity
Organization
Contact information
Practice address
1311 CHUCK DAWLEY BLVD STE 101, MT PLEASANT, SC 29464-7303
(843) 971-0041
(843) 971-0043
Mailing address
7465A NORTHSIDE DR, CHARLESTON, SC 29420-4209
(843) 797-7600
(843) 797-7905
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1481
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3132
SC
Other
Enumeration date
01/11/2007
Last updated
06/26/2008
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