# OAK POINT PEDIATRIC DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487712535
- **Authorized official:** DR. ERIN LEWIS NICHOLS D.M.D. (PRESIDENT)
- **Authorized official phone:** (843) 795-8787

## Contact information

- **Practice address:** 1721 OAK POINT RD, CHARLESTON, SC 29412-2838
- **Practice address phone:** (843) 795-8787
- **Practice address fax:** (843) 795-8717
- **Mailing address:** 1721 OAK POINT RD, CHARLESTON, SC 29412-2838
- **Mailing address phone:** (843) 795-8787
- **Mailing address fax:** (843) 795-8717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 3467 | SC | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZA9817 | — | SC |
