James Gilmour Agnew, D.M.D.

Individual provider Active NPI General Practice Dentistry · Boiling Springs, SC

NPI 1922065846 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1922065846
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2771 (SC)
Practice address
2272 Old Furnace Rd
Boiling Springs, SC 29316-5759
Phone
(864) 578-7017
Fax
(864) 578-6681
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160615000364 SC Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
4082905484

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2771SCMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2771 SC Yes

Addresses

Primary practice location

2272 Old Furnace Rd
Boiling Springs, SC 29316-5759

Mailing address

PO Box 160088
Boiling Springs, SC 29316-0003
Phone (864) 578-7017

Other providers in Boiling Springs, SC

All providers in Boiling Springs, SC · General Practice Dentistry in South Carolina

Sources for this page

Verify at the official NPI Registry.