William D. Owen, Jr.,DDS & Debra G. Claycomb,DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401004909 Issued in VA

Legal business name

WILLIAM D. OWEN, JR.,DDS & DEBRA G. CLAYCOMB,DDS, PLLC

Practice address

431 Main St
South Boston, VA 24592-3241

Phone

(434) 572-3205

Fax

(434) 572-8566

NPI assigned

Jan 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William D. Owen Jr., D.D.S.NPI 1447320890

Title

Part Owner

Phone

(434) 572-3205

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William D. Owen Jr., D.D.S.

  • General Practice Dentistry
  • South Boston, VA
  • NPI 1447320890
  NPD (past) Authorized official
• Debra G. Claycomb, D.D.S.

  • General Practice Dentistry
  • South Boston, VA
  • NPI 1821168287
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043357924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 MAIN ST",
            "address_2": "P. O. BOX 425",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245923241",
            "telephone_number": "434-572-3205",
            "fax_number": "434-572-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MAIN ST",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245923241",
            "telephone_number": "434-572-3205",
            "fax_number": "434-572-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D. OWEN, JR.,DDS & DEBRA G. CLAYCOMB,DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "434-572-3205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401004909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens # 11773)
• Thomas J Walton
• Melanie A Watts, LPC
• Karen Michelle Weddle, LPC
• Anthony Wilkerson, NP
• Dale Francisco Williams, D.C.
• Dan A Williams Jr.
• Norman L Williams, D.D.S.
• Joyce A. Willis, LCSW
• Joan Wilson, MD

• General Practice Dentistry in South Boston, VA
• Providers in South Boston, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.