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Dr. Keith Stanley Wickizer, DMD,MS,ABO
Orthodontics and Dentofacial Orthopedic Dentist in Summerville, South Carolina
NPI 1932198801

Keith Stanley Wickizer is a Orthodontics and Dentofacial Orthopedic Dentist based in Summerville, SC and is specialized in Orthodontics and Dentofacial Orthopedics. Keith Stanley Wickizer practices in Summerville, SC and has the professional credentials of DMD,MS,ABO. The NPI Number for Keith Stanley Wickizer is 1932198801 and holds a License No. 4227 (South Carolina).

The current practice location address for Keith Stanley Wickizer is 100 Omalley Dr Unit B, Summerville, SC and can be reached out via phone at 843-261-0142 and via fax at 843-261-0125.

Location: 100 Omalley Dr Unit B, Summerville, SC, 29483-5635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932198801
Provider Name
Keith Stanley Wickizer
Credential
DMD,MS,ABO
Provider Entity Type
Individual
Gender
Male
Address
100 Omalley Dr Unit B, Summerville, SC, 29483-5635
Phone Number
843-261-0142
Fax Number
843-261-0125
Provider Enumeration Date
10/13/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Omalley Dr Unit B
City
Summerville
State
South Carolina
Zip
29483-5635
Phone Number
843-261-0142
Fax Number
843-261-0125
person
Provider Business Mailing Address Details
Address
100 Omalley Dr Unit B
City
Summerville
State
South Carolina
Zip
29483-5635
Phone Number
843-261-0142
Fax Number
843-261-0125
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
0657 (South Carolina)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
4227 (South Carolina)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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