Provider Demographics
NPI:1013046689
Name:OWINGS, ANDREW COLLIER (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:COLLIER
Last Name:OWINGS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 WATERFORD DRIVE
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:864-543-2060
Mailing Address - Fax:
Practice Address - Street 1:321 NORTH CAMBRIDGE STREET
Practice Address - Street 2:
Practice Address - City:NINETY SIX
Practice Address - State:SC
Practice Address - Zip Code:29666
Practice Address - Country:US
Practice Address - Phone:864-543-4109
Practice Address - Fax:864-543-3246
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2376122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist