Provider Demographics
NPI:1407232267
Name:CHAROWSKI, MEGAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:CHAROWSKI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1334 HIGHWAY 14
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-5659
Mailing Address - Country:US
Mailing Address - Phone:864-297-5585
Mailing Address - Fax:864-297-4166
Practice Address - Street 1:1334 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-5659
Practice Address - Country:US
Practice Address - Phone:864-297-5585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC94861223P0221X, 1223P0221X
TX31208122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist