DR. JOHN TERRY POOLE III D.M.D.
NPI 1104911346
Dentist - General Practice in Summerville, SC

Active since October 04, 2006
1806 OLD TROLLEY RD, SUMMERVILLE, SC 29485(843) 871-1116 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 6, 2021, Dec 10, 2020 (2 updates tracked since 2020).

About Dr. John Terry Poole Iii D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN TERRY POOLE III D.M.D. (NPI 1104911346) is an individual general practice provider in Summerville, South Carolina, licensed in South Carolina (3919) and active in the NPI registry since October 2006. He maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1104911346
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN TERRY POOLE IIICredential: D.M.D.
Location Address1806 OLD TROLLEY RDSummerville, SC 29485-8224
Mailing Address1806 Old Trolley RdSummerville, SC 29485-8224 · (843) 871-1116 · Fax (843) 821-3683
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
NPI 1104911346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SC · 3919
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1806 OLD TROLLEY RD, Summerville, SC 29485

Secondary Practice Location 1

Location 13269 Allendale Fairfax HwyFairfax, SC 29827-9163 · Phone (803) 584-4803 · Fax (803) 584-4806

Other Identifiers 1

MedicaidZX3919SC

Accepted Insurance

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Chiropractor
1806 OLD TROLLEY RD
SUMMERVILLE, SC 29485
Clinic/Center (Dental)
1806 OLD TROLLEY RD
SUMMERVILLE, SC 29485

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104911346, enumerated as an "individual" on October 04, 2006.

The provider is located at 1806 OLD TROLLEY RD SUMMERVILLE, SC 29485 and the phone number is (843) 871-1116.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Florida Combined Life, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.