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NICKLAS DENTAL
NPI 1558794396
Dentist - General Practice in Ladson, SC

Active since August 15, 2013
9565 HIGHWAY 78, UNIT 600B, LADSON, SC 29456(843) 412-4036 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicklas Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKLAS DENTAL (NPI 1558794396) is a healthcare organization registered as a general practice in Ladson, South Carolina and active in the NPI registry since August 2013. The organization lists Patricia Nicklas, Member/dentist, as its authorized official.

NPPES Registry Identity

NPI1558794396
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR. PATRICIA NICKLAS
Location Address9565 HIGHWAY 78, UNIT 600BLadson, SC 29456-4118
Mailing Address9565 Highway 78, Unit 600bLadson, SC 29456-4118 · (843) 412-4036
Phone(843) 412-4036
Organization SubpartNo
Authorized OfficialPatricia NicklasMember/dentist · (843) 412-4036
Enumeration DateAugust 15, 2013
✔ NPI 1558794396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 4626
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9565 HIGHWAY 78, Ladson, SC 29456
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Other Names 1

Doing Business AsNicklas Dental

Other Identifiers 2

MedicaidZX4626SC
Medicaid1023230414SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHILDRENS EYE SPECIALISTS LLC
Ophthalmology
9565 HIGHWAY 78, BLDG 600
LADSON, SC 29456
Berkeley County (843) 202-0288
BRANDON MYCHAEL WARE PA-C
Physician Assistant (Medical)
9565 HIGHWAY 78, SUITE 400
LADSON, SC 29456
Berkeley County (843) 737-0437
AMANDA W. LEE
Speech-Language Pathologist
9565 HIGHWAY 78, BUILDING 700 SUITE 102
LADSON, SC 29456
Berkeley County (888) 510-6369
SOUTHERN COAST SPECIALISTS, LLC
Neurological Surgery
9565 HIGHWAY 78, BLDG 100
LADSON, SC 29456
Berkeley County (843) 553-7615
DR. DAVID W. BANG, P.C.
Optometrist
9565 HIGHWAY 78, BUILDING 900
LADSON, SC 29456
Berkeley County (843) 764-3030
PHELAN GILES PIEHOTA D.O.
Ophthalmology
9565 HIGHWAY 78, BLDG 200
LADSON, SC 29456
Berkeley County (843) 553-2477
DR. JENNIE O REARDON DMD
Dentist (General Practice)
9565 HIGHWAY 78, UNIT 600B
LADSON, SC 29456
Berkeley County (843) 412-4036
TRIDENT LOW VISION SPECIALTIES, LLC
Clinic/Center (Health Service)
9565 HIGHWAY 78, BUILDING 300
LADSON, SC 29456
Berkeley County (843) 412-2339

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Patricia Nicklas's NPI number?

The NPI number for Dr. Patricia Nicklas is 1558794396. It was assigned to this organization in the NPPES registry on August 15, 2013. The provider is doing business as Nicklas Dental.

Where is Dr. Patricia Nicklas located?

Dr. Patricia Nicklas is located at 9565 Highway 78 Unit 600B, Ladson, SC 29456. The listed phone number is (843) 412-4036.

What is Dr. Patricia Nicklas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dr. Patricia Nicklas was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.