Organization
OAKBROOK FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN TERRY POOLE III DMD (OWNER DENTIST)
(843) 871-1116
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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