Dr. Philip M Prickett
Oral & Maxillofacial Surgeon
1755 St. Julian Place
Columbia
, South Carolina 29204
Dr. Philip M Prickett
Oral & Maxillofacial Surgeon
1755 St. Julian Place
Columbia
, South Carolina 29204
(803) 799-2151
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Philip M Prickett
- 1755 St. Julian Place
- Columbia, SC
- Zip : 29204
- Fax : (803) 799-2151
- Phone : (803) 254-2972
Second Address
- Dr. Philip M Prickett
- 1755 St. Julian Place
- Columbia, SC
- Zip : 29204
- Fax : (803) 799-2151
- Phone : (803) 254-2972
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 3132 | SC |
National Provider Identifier
| NPI | 1588629638 |
|---|---|
| Provider Name | Dr. Philip M Prickett |
| First Address | Columbia, SC 29204 |
| Second Address | Columbia, SC 29204 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2006 |
| Last Update Date | 18/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U55412 | (02) | SC |
| ZA31323 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.