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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