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NPI Code Detail

MEDICARE: OWINGS SAM & OWINGS-DENTISTS

MEDICARE: OWINGS SAM & OWINGS-DENTISTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003853482
Entity Type Code : Organization
Provider Name (Legal Business Name) : OWINGS SAM & OWINGS-DENTISTS
Provider Business Mailing Address
First Line : 540 W MARTINTOWN RD
Second Line :
City : NORTH AUGUSTA
State : SC
Zip : 29841-1101
Country : US
Telephone Number : 803-279-9346
Fax Number : 803-279-9000
Provider Business Practice Location Address
First Line : 540 W MARTINTOWN RD
Second Line :
City : NORTH AUGUSTA
State : SC
Zip : 29841-1101
Country : US
Telephone Number : 803-279-9346
Fax Number : 803-279-9000
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. CAROLYN DARR SCOTT
Credential :
Telephone Number : 803-279-9346
Provider Enumeration Date : 06/02/2006
Last Update Date : 08/22/2020

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Directions to “OWINGS SAM & OWINGS-DENTISTS ” Practice Location

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