Old Trolley Dental Assoc Pa | |
600 Old Trolley Rd Suite A Summerville SC 29485-5657 | |
(843) 871-2971 | |
(843) 871-7412 |
Full Name | Old Trolley Dental Assoc Pa |
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Speciality | Dentist - General Practice |
Location | 600 Old Trolley Rd, Summerville, South Carolina |
Authorized Official Name and Position | William S. Kibler (DENTIST) |
Authorized Official Contact | 8438712971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Old Trolley Dental Assoc Pa 600 Old Trolley Rd Suite A Summerville SC 29485-5657 Ph: (843) 871-2971 | Old Trolley Dental Assoc Pa 600 Old Trolley Rd Suite A Summerville SC 29485-5657 Ph: (843) 871-2971 |
NPI Number | 1689710758 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689710758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3872 (South Carolina) | Primary |
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