Dr. Keith Stanley Wickizer
D.M.D., M.S., A.B.O. | Dentist
100 Omalley Dr Unit B, Summerville
South Carolina, 29483-5635
843-261-0142 843-261-0125
Maps & DirectionsDr. Keith Stanley Wickizer is a Summerville, South Carolina based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Keith Stanley Wickizer is
0657 for Orthodontics and Dentofacial Orthopedics in South Carolina. His current practice location is
100 Omalley Dr Unit B, Summerville. Patients can reach him at
843-261-0142.
Dr. Keith Stanley Wickizer is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Keith Stanley Wickizer speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Keith Stanley Wickizer |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.M.D., M.S., A.B.O. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 100 Omalley Dr Unit B, Summerville,
South Carolina, 29483-5635 |
| Phone: | 843-261-0142 |
| Fax: | 843-261-0125 |
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 are as mentioned below.
| NPI Number: | 1932198801 |
| NPI Enumeration Date: | 13 Oct, 2005 |
| NPI Last Update On: | 15 Apr, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Keith Stanley Wickizer are as mentioned below.
| License Number | Specialization | State | Status | |
| 0657 | Orthodontics and Dentofacial Orthopedics | South Carolina | Primary | |
| 4227 | Dentistry | South Carolina | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 100 Omalley Dr Unit B,
Summerville, South Carolina |
| Zip: | 29483-5635 |
| Phone Number: | 843-261-0142 |
| Fax Number: | 843-261-0125 |
Patients can reach Dr. Keith Stanley Wickizer at
100 Omalley Dr Unit B, Summerville, South Carolina or can
call to book an appointment on 843-261-0142.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.