J. Wade Nichols Dmd, Pa is a Endodontics Clinic in Myrtle Beach, South Carolina. It is located at 4605 Oleander Dr, Myrtle Beach, SC and its contact number is 843-554-5300. The authorized person for J. Wade Nichols Dmd, Pa is Sharon Dibenedetto
who is Ins. Coord. of the clinic and their contact number is 843-554-5300. The primary license number for J. Wade Nichols Dmd, Pa is SC1956 (Endodontics) in South Carolina.
J. Wade Nichols Dmd, Pa Clinic deals with the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Complete Clinic Profile:
J. Wade Nichols Dmd, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | J. Wade Nichols Dmd, Pa |
| Specialization: | Endodontics |
| Clinic Address: | 4605 Oleander Dr, Myrtle Beach,
South Carolina, 29577-5739 |
| Phone: | 843-554-5300 |
| Fax: | 843-554-1067 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Sharon Dibenedetto |
| Position: | Ins. Coord. |
| Contact Number: | 843-554-5300 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for J. Wade Nichols Dmd, Pa clinic are as mentioned below.
| NPI Number: | 1851516884 |
| NPI Enumeration Date: | 16 Apr, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for J. Wade Nichols Dmd, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Endodontics | SC1956 | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| SC19560 | Medicaid | South Carolina | |
| ZA9681 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | J. Wade Nichols Dmd, Pa
4605 Oleander Dr,
Myrtle Beach, South Carolina |
| Zip: | 29577-5739 |
| Phone Number: | 843-554-5300 |
| Fax Number: | 843-554-1067 |
Patients can reach J. Wade Nichols Dmd, Pa at
4605 Oleander Dr, Myrtle Beach, South Carolina or can
call to book an appointment on 843-554-5300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.