Provider Demographics
NPI:1356355598
Name:CHEWNING, LAWRENCE R JR (DMD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:R
Last Name:CHEWNING
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E CHEVES ST
Mailing Address - Street 2:SUITE 440
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2716
Mailing Address - Country:US
Mailing Address - Phone:843-667-6000
Mailing Address - Fax:843-667-6240
Practice Address - Street 1:901 E CHEVES ST
Practice Address - Street 2:SUITE 440
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2716
Practice Address - Country:US
Practice Address - Phone:843-667-6000
Practice Address - Fax:843-667-6240
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1223S0112X1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZ18776Medicaid
SCZ18776Medicaid