DR. KEITH STANLEY WICKIZER D.M.D., M.S., A.B.O.
NPI 1932198801
Dentist - Orthodontics and Dentofacial Orthopedics in Summerville, SC

Active since October 13, 2005
100 OMALLEY DR UNIT B, SUMMERVILLE, SC 29483(843) 261-0142(843) 261-0125 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Keith Stanley Wickizer D.m.d., M.s., A.b.o. NPPES

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

DR. KEITH STANLEY WICKIZER D.M.D., M.S., A.B.O. (NPI 1932198801) is an individual orthodontics and dentofacial orthopedics provider in Summerville, South Carolina, licensed in South Carolina (0657) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1932198801
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. KEITH STANLEY WICKIZERCredential: D.M.D., M.S., A.B.O.
Location Address100 OMALLEY DR UNIT BSummerville, SC 29483-5635
Mailing Address100 Omalley Dr Unit BSummerville, SC 29483-5635 · (843) 261-0142 · Fax (843) 261-0125
Fax(843) 261-0125
Sole ProprietorNo
Enumeration DateOctober 13, 2005
Last NPPES UpdateApril 15, 2008
NPI 1932198801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in SC · 0657
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.
Also ListedDentistTaxonomy 122300000X · License 4227 (SC)
100 OMALLEY DR UNIT B, Summerville, SC 29483

Accepted Insurance

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 Keith Wickizer's NPI number?

The NPI number for Keith Wickizer is 1932198801. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Keith Wickizer located?

Keith Wickizer practices at 100 Omalley Dr Unit B, Summerville, SC 29483. The listed phone number is (843) 261-0142.

What is Keith Wickizer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Keith Wickizer accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Keith Wickizer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Wickizer was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.