Active NPIIndividual providerSole proprietor

Dr. Wahid Mistikawi, DMD PC

Dentist in Murrells Inlet, South Carolina

NPI Number1710135033
Practice location
4410 Highway 17 Unit B5, Murrells Inlet, SC 29576-6434
Fax
843-947-0025
Last updated
July 29, 2024

Wahid Mistikawi is a Dentist based in Murrells Inlet, SC. Wahid Mistikawi practices in Murrells Inlet, SC and has the professional credentials of DMD PC. The NPI Number for Wahid Mistikawi is 1710135033 and holds a License No. 17639 (MA). The current practice location address for Wahid Mistikawi is 4410 Highway 17 Unit B5, Murrells Inlet, SC 29576-6434 and can be reached out via phone at 843-790-0950 and via fax at 843-947-0025.

Provider Profile Details

NPI Number
1710135033
Provider Name
Wahid Mistikawi
Credential
DMD PC
Provider Entity Type
Individual
Gender
Male
Address
4410 Highway 17 Unit B5, Murrells Inlet, SC 29576-6434
Phone Number
843-790-0950
Fax Number
843-947-0025
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
August 28, 2008
Last Update Date
July 29, 2024
Certification Date
July 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
4410 Highway 17 Unit B5
Murrells Inlet, SC 29576-6434
Zip
29576-6434
Phone Number
843-790-0950
Fax Number
843-947-0025
Murrells Inlet, SC 29576Get directions →

Provider Business Mailing Address Details

Address
792 South Main St.
Suite 24 Greatwoods Family Of Cosmetic Dentistry
Mansfield, MA 02048
City
Mansfield
State
MA
Zip
02048
Phone Number
508-339-4171
Fax Number
508-339-8311

License Information

License Number (1)
17639
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
9368
License State (2)
SC
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Wahid Mistikawi, DMD PC?

The NPI number of Dr. Wahid Mistikawi, DMD PC is 1710135033. It was assigned on August 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Wahid Mistikawi, DMD PC?

Dr. Wahid Mistikawi, DMD PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 17639.

Where does Dr. Wahid Mistikawi, DMD PC practice?

The practice location is 4410 Highway 17 Unit B5, Murrells Inlet, SC 29576-6434. The office can be reached at 843-790-0950 (phone) or 843-947-0025 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710135033 directly on the NPPES registry website.

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