# PHILIP PRICKETT/ MT. PLEASANT ORAL FACIAL & IMPLANT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Low Country Oral Facial & Implant
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144370339
- **Authorized official:** DR. PHILIP M PRICKETT D.M.D. (PHYSICIAN)
- **Authorized official phone:** (843) 971-0041

## Contact information

- **Practice address:** 1311 CHUCK DAWLEY BLVD STE 101, MT PLEASANT, SC 29464-7303
- **Practice address phone:** (843) 971-0041
- **Practice address fax:** (843) 971-0043
- **Mailing address:** 7465A NORTHSIDE DR, CHARLESTON, SC 29420-4209
- **Mailing address phone:** (843) 797-7600
- **Mailing address fax:** (843) 797-7905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 1481 | SC | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3132 | SC | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 06/26/2008