Andrew Collier Owings, DMD
Individual provider Active NPI Dentist · Ninety Six, SC
NPI 1013046689 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013046689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2376 (SC)
- Practice address
- 321 North Cambridge Street
Ninety Six, SC 29666 - Phone
- (864) 543-4109
- Fax
- (864) 543-3246
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew C Owings DMD PA | Dentist | Past | Accepting new patients |
| Family Dentistry Jared P. Tavernier DMD, PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2376 | SC | Yes |
Addresses
Primary practice location
321 North Cambridge Street
Ninety Six, SC 29666
Mailing address
117 Waterford Drive
Ninety Six, SC 29666-1012
Phone (864) 543-2060
Other providers in Ninety Six, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.