Healthcare Provider Details

I. General information

NPI: 1841349040
Provider Name (Legal Business Name): JAMES R OWINGS JR. DDS MSD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 02/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 MILLS AVENUE SUITE 106
GREENVILLE SC
29605
US

IV. Provider business mailing address

310 MILLS AVENUE SUITE 106
GREENVILLE SC
29605
US

V. Phone/Fax

Practice location:
  • Phone: 864-232-7348
  • Fax: 864-233-4326
Mailing address:
  • Phone: 864-232-7348
  • Fax: 864-233-4326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number1286
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: