NPI 1023230414

Patricia M Nicklas, DDS

Practitioner General Practice Dentistry North Charleston, SC

Practice location

Address: 6035 Rivers Ave STE a, North Charleston, SC 29406-5018
Phone: (843) 572-9909
Mailing address: 201 W 8th St Suite 810, Pueblo, CO 81003-3038

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 30-020038 (OH)

Other Dentist providers in South Carolina →

Registry record

NPI: 1023230414
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2007
Record last updated: 29 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.