Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

J. Wade Nichols DMD, PA

Organization Endodontics · NPI 1851516884

J. Wade Nichols DMD, PA is an Endodontics in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4605 Oleander Dr
Myrtle Beach, SC 29577-5739
Phone: (843) 554-5300
Fax: (843) 554-1067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence SC1956 (SC)

Record details

NPI number1851516884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Dibenedetto — Ins. Coord. · (843) 554-5300
NPI enumeratedApril 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4605 Oleander Dr, Myrtle Beach, SC 29577-5739

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