Individual
JACK NIERENHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29 PLANTATION HOUSE DR STE 303, BLUFFTON, SC 29910-4774
(843) 593-8123
Mailing address
29 PLANTATION HOUSE DR STE 303, BLUFFTON, SC 29910-4774
(843) 593-8123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11243
SC
Other
Enumeration date
07/09/2024
Last updated
12/02/2025
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