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Organization
OAK POINT PEDIATRIC DENTISTRY, LLC
Active
Organization
OAK POINT PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN LEWIS NICHOLS D.M.D. (PRESIDENT)
(843) 795-8787
Entity
Organization
Contact information
Practice address
1721 OAK POINT RD, CHARLESTON, SC 29412-2838
(843) 795-8787
(843) 795-8717
Mailing address
1721 OAK POINT RD, CHARLESTON, SC 29412-2838
(843) 795-8787
(843) 795-8717
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3467
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9817
—
SC
Enumeration date
12/04/2006
Last updated
08/22/2020
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