Most Relevant Information
Provider Data
| NPI Number: | 1003062753 |
| Provider Name: | ALEXIS PICKENS COLLINS D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0221X |
| Specialty: | Dentist |
| License Number: | 4507 |
Most Important Dates
| Enumeration Date: | 08/13/2008 |
| Last Updated: | 12/30/2022 |
Provider Practice Location
1774 DUTCH FORK RD
IRMO
SC
290638829
Practice Location Phone/Fax
| Phone: | 8037727302 |
| Fax: | 8037727353 |
Provider Mailing Location
1774 DUTCH FORK RD
IRMO
SC
290638829
Provider Mailing Phone/Fax
| Phone: | 8037727302 |
| Fax: | 8037727353 |