MEDICARE: JACK NIERENHAUSEN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	11243	SC

General Provider Information

NPI Number	:	1609613637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACK NIERENHAUSEN DDS

Provider Business Mailing Address
First Line	:	29 PLANTATION HOUSE DR STE 303
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910-4774
Country	:	US
Telephone Number	:	843-593-8123
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 PLANTATION HOUSE DR STE 303
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910-4774
Country	:	US
Telephone Number	:	843-593-8123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2024
Last Update Date	:	12/02/2025

Similar Medicare Providers

1902462450 — ADVANCED COASTAL THERAPY
Practice Location Address:

71 PLANTATION HOUSE DR
BLUFFTON, SC
29910-4774

Practice Phone: 843-321-8341
Practice Fax: 843-706-9050

1306065917 — DR. ANDREW BRADLEY DMD
Practice Location Address:

255 NEW RIVERSIDE VILLAGE WAY UNIT 203
BLUFFTON, SC
29910-3448

Practice Phone: 843-949-4945
Practice Fax: 843-949-4947

1386506004 — HILTON HEAD REGIONAL PHYSICIAN GROUP LLC
Practice Location Address:

111 PERSIMMONS ST
BLUFFTON, SC
29910-4779

Practice Phone: 912-352-8346
Practice Fax: 912-355-1414

1902808082 — JEFFREY W. LINEBERRY DDS
Practice Location Address:

347 RED CEDAR ST BLDG 400
BLUFFTON, SC
29910-8906

Practice Phone: 843-305-3865
Practice Fax:

1609870690 — THOMAS E KNIGHT JR. M.D.
Practice Location Address:

18 CLARKS SUMMIT DRIVE
BLUFFTON, SC
29910

Practice Phone: 843-815-9700
Practice Fax: 843-815-9701

1558365049 — DEBORAH J CHAMBERS MD
Practice Location Address:

57 LAKE LINDEN LN
BLUFFTON, SC
29910-6423

Practice Phone: 843-683-1820
Practice Fax:

Directions to “ JACK NIERENHAUSEN DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.