Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Keith Stanley Wickizer, DMD, MS, ABO

Individual provider Dentist · NPI 1932198801

Dr. Keith Stanley Wickizer, DMD, MS, ABO is a Dentist in Summerville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2005.

Licensed in
SC
In the registry since
2005
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

100 Omalley Dr Unit B
Summerville, SC 29483-5635
Phone: (843) 261-0142
Fax: (843) 261-0125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 0657 (SC)
Dentist Taxonomy 122300000X · Licence 4227 (SC)

Record details

NPI number1932198801
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MS , ABO
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESApril 15, 2008

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