Provider Demographics
NPI:1841349040
Name:OWINGS, JAMES R JR (DDS MSD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:OWINGS
Suffix:JR
Gender:M
Credentials:DDS MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 MILLS AVENUE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605
Mailing Address - Country:US
Mailing Address - Phone:864-232-7348
Mailing Address - Fax:864-233-4326
Practice Address - Street 1:310 MILLS AVENUE
Practice Address - Street 2:SUITE 106
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605
Practice Address - Country:US
Practice Address - Phone:864-232-7348
Practice Address - Fax:864-233-4326
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1286122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT241171790Medicare ID - Type Unspecified