Dr. Nikolas Kenneth Diederich is a Myrtle Beach, 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. Nikolas Kenneth Diederich is 13909577-9923 for Dentistry in Utah. His current practice location is 1267 38th Ave N Spc 219, Myrtle Beach. Patients can reach him at 843-491-5963.
Dr. Nikolas Kenneth Diederich 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. Nikolas Kenneth Diederich 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. Nikolas Kenneth Diederich
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
1267 38th Ave N Spc 219, Myrtle Beach, South Carolina, 29577-1313
Phone:
843-491-5963
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:
1154175818
NPI Enumeration Date:
17 Apr, 2024
NPI Last Update On:
17 Apr, 2024
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. Nikolas Kenneth Diederich are as mentioned below.
License Number
Specialization
State
Status
13909577-9923
Dentistry
Utah
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1894 E Wagstaff Dr, Salt Lake City, Utah
Zip:
84117-5165
Phone Number:
801-931-8322
Patients can reach Dr. Nikolas Kenneth Diederich at 1267 38th Ave N Spc 219, Myrtle Beach, South Carolina or can call to book an appointment on 843-491-5963. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.