=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376420281
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | IGNACIO TROIANO DDS, MSD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2025
-----------------------------------------------------
Last Update Date | 08/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 173 ASHLEY AVE
-----------------------------------------------------
City | CHARLESTON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29425-8908
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-792-3444
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8762 JENNY LIND ST APT 15E
-----------------------------------------------------
City | CHARLESTON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29406-8015
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-437-7419
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | DID.68
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------