DR. PHILIP M PRICKETT (NPI# 1588629638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588629638 |
| Entity Type | Individual |
| Full Name | DR. PHILIP M PRICKETT |
| Credential | D.M.D. |
| Practice Address |
1311 Chuck Dawley Blvd Suite 101 Mt Pleasant SC 29464-7303 |
| Practice Telephone | 8439710041 |
| Practice Fax Number | 8439710043 |
| Mailing Telephone | 8439710041 |
| Mailing Fax Number | 8439710043 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2017-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 3132 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZA31323 | 05 |
| Street Address |
1311 CHUCK DAWLEY BLVD SUITE 101 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-7303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1265930697 | Palmetto Ofs, LLC | Oral & Maxillofacial Surgery | 2849 N Pleasantburg Dr, Greenville, SC 29609-3034 | 2018-01-31 |
| 1730602319 | Shelbourne & Associates Oral and Facial Surgery | Oral & Maxillofacial Surgery | 198 Rutledge Ave Ste 4, Charleston, SC 29403-5834 | 2017-07-25 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1659543148 | Robert L. Coles, Dmd | Oral & Maxillofacial Surgery | 15b Winchester Ct, Mauldin, SC 29662-2626 | 2008-03-25 |
| 1174666283 | Leonard Edward Mcgaha | Oral & Maxillofacial Surgery | 1514 N Fant St, Anderson, SC 29621-4708 | 2007-02-15 |
| 1376642710 | Harry Clinton Belk Jr. | Oral & Maxillofacial Surgery | 115 Powell Mill Road, Spartanburg, SC 29301 | 2006-09-22 |
| 1912019001 | Jonna J Moreschi | Oral & Maxillofacial Surgery | 1021 Maxwell Mill Road, Suite #e, Fort Mill, SC 29708 | 2006-08-31 |
| 1790720043 | James B Tankersley Jr. | Oral & Maxillofacial Surgery | 4103 E North St, Greenville, SC 29615 | 2006-06-19 |
| 1497729396 | Jeffrey H Wallen | Oral & Maxillofacial Surgery | 1200 48th Ave N, Suite 101, Myrtle Beach, SC 29577-5425 | 2006-02-15 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.