Active NPI
William Lawrence Owen IV, DMD
- General Practice Dentistry
- Camden, SC
National Provider Identifier
1255569604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4623
- Practice address
- 310 Hampton Park
Camden, SC 29020-3605 - Phone
- (803) 432-2155
- Fax
- (803) 432-7744
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4623 | SC | Primary |
Addresses
Primary practice location
310 Hampton Park
Camden, SC 29020-3605
Mailing address
PO Box 1647
Camden, SC 29021-8647
Phone (803) 432-2155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4623 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Moss & Owen Inc. | General Practice | Past | Accepting new patients |
| DRS Moss and Owen | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1255569604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1647",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290218647",
"telephone_number": "803-432-2155",
"fax_number": "803-432-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 HAMPTON PARK",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290203605",
"telephone_number": "803-432-2155",
"fax_number": "803-432-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "WILLIAM",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camden, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.