Individual
DR. JOHN TERRY POOLE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1806 OLD TROLLEY RD, SUMMERVILLE, SC 29485-8224
(843) 871-1116
Mailing address
1806 OLD TROLLEY RD, SUMMERVILLE, SC 29485-8224
(843) 871-1116
(843) 821-3683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3919
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3919
—
SC
Enumeration date
10/04/2006
Last updated
01/06/2021
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