Provider Demographics
NPI:1851420418
Name:ANDREW C OWINGS DMD PA
Entity Type:Organization
Organization Name:ANDREW C OWINGS DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:COLLIER
Authorized Official - Last Name:OWINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:864-543-4109
Mailing Address - Street 1:321 N CAMBRIDGE STREET
Mailing Address - Street 2:
Mailing Address - City:NINETY SIX
Mailing Address - State:SC
Mailing Address - Zip Code:29666-1012
Mailing Address - Country:US
Mailing Address - Phone:864-543-4109
Mailing Address - Fax:864-549-3246
Practice Address - Street 1:321 N CAMBRIDGE STREET
Practice Address - Street 2:
Practice Address - City:NINETY SIX
Practice Address - State:SC
Practice Address - Zip Code:29666-1012
Practice Address - Country:US
Practice Address - Phone:864-543-4109
Practice Address - Fax:864-549-3246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2376122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty