Oakbrook Family Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OAKBROOK FAMILY DENTISTRY PC

Practice address

1806 Old Trolley Rd
Summerville, SC 29485-8224

Phone

(843) 871-1116

NPI assigned

Jan 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. John Terry Poole III, DMDNPI 1104911346

Title

Owner Dentist

Phone

(843) 871-1116

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.

• John Terry Poole III, D.M.D.

  • General Practice Dentistry
  • Summerville, SC
  • NPI 1104911346
  NPD Authorized official

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1801484704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 OLD TROLLEY RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858224",
            "telephone_number": "843-871-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 OLD TROLLEY RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858224",
            "telephone_number": "843-871-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKBROOK FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "843-871-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polina O'Brien
• Elaine R O'Donnell, PA-C
• Cathleen O'Neal, ATC
• Andie O'Neill, RBT
• Oak Landing Pediatric Dentistry, LLC
• Oakbrook Health Care LLC (Oakbrook Health and Rehabilitation Center)
• Oakbrook Pediatrics, PA
• Chuma Godfrey Obineme, M.D.
• Obtelecare South Carolina PC
• Ocean Eye, PC

• Dental Clinic/Center in Summerville, SC
• Providers in Summerville, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.