Individual
DR. PHILIP M PRICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1755 ST. JULIAN PLACE, COLUMBIA, SC 29204
(803) 254-2972
(803) 799-2151
Mailing address
1755 ST. JULIAN PLACE, COLUMBIA, SC 29204
(803) 254-2972
(803) 799-2151
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
3132
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA31323
—
SC
Enumeration date
04/20/2006
Last updated
10/18/2021
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