Old Trolley Dental Associates LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OLD TROLLEY DENTAL ASSOCIATES LLC

Practice address

600 Old Trolley Rd
Summerville, SC 29485-5686

Phone

(843) 871-2971

Fax

(843) 871-7412

NPI assigned

Sep 20, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Scott Kibler, DMDNPI 1629091376

Title

Managing Partner

Phone

(843) 871-2971

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William S Kibler, DMD

  • Dentist
  • Summerville, SC
  • NPI 1629091376
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1225708373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OLD TROLLEY RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855686",
            "telephone_number": "843-871-2971",
            "fax_number": "843-871-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OLD TROLLEY RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855686",
            "telephone_number": "843-871-2971",
            "fax_number": "843-871-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TROLLEY DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "KIBLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "843-871-2971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Rose Odonnell
• Linda Amondi Okello
• Ijebusomma Okoye, DC
• Emily Okubo, PA-C
• Old Trolley Dental Assoc PA
• Baird D Oldfield, MD
• Anika Oliver
• Caroline Polutta Oliver
• Christopher D Oliver, D.M.D.
• Lucy Oliver, LPCA

• General Practice Dentistry in Summerville, SC
• Providers in Summerville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.