Organization
OLD TROLLEY DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SCOTT KIBLER DMD (MANAGING PARTNER)
(843) 871-2971
Entity
Organization
Contact information
Practice address
600 OLD TROLLEY RD, SUMMERVILLE, SC 29485-5686
(843) 871-2971
(843) 871-7412
Mailing address
600 OLD TROLLEY RD, SUMMERVILLE, SC 29485-5686
(843) 871-2971
(843) 871-7412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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