LAKE BOWEN DENTAL (NPI# 1417053406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417053406 |
| Entity Type | Organization |
| Organization Name | LAKE BOWEN DENTAL |
| Practice Address |
8810 Hwy 9 Inman SC 29349 |
| Mailing Address |
Po Box 38 Inman SC 29349 |
| Practice Telephone | 8645921647 |
| Practice Fax Number | 8645920630 |
| Mailing Telephone | 8645921647 |
| Mailing Fax Number | 8645920630 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ASA DUNCAN SHIRLEY III (DENTIST/OWNER) |
| Authorized Official Telephone | 8645921647 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | SC1228 | SC | Dental Providers |
| N | 122300000X | Dentist | SC3766 | SC | Dental Providers |
| Y | 122300000X | Dentist | SC1863 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZA9600 | 05 |
| Street Address |
8810 HWY 9 |
| City | INMAN |
| State | SC |
| Zip Code | 29349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265657803 | Charles A Huneycutt | Dentist | 8810 Hwy 9, Inman, SC 29349-0038 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129336 | Shela Beth Hipolito | Nurse Practitioner | 1827, 59 Blackstock Rd, Inman, SC 29349 | 2018-09-26 |
| 1669784054 | Carolina Vision Associates, LLC | Optometrist | 43 N. Main Street, Inman, SC 29349 | 2010-07-14 |
| 1902038797 | Thomas William Beauchamp Sr. | Dentist | 26 Mill St., Thomas W. Beauchamp Dds, Inman, SC 29349 | 2009-08-13 |
| 1104026111 | Analyn M Mccutchen | Physical Therapist | 63 Blacstock Rd, Inman, SC 29349 | 2007-07-19 |
| 1669405262 | Nicole Korin Lavis | Physician Assistant | 12051 Asheville Hwy, Inman, SC 29349 | 2006-07-08 |
| 1528018322 | Catherine Eloy Hunt | Family Medicine | 12330 Asheville Highway, Inman, SC 29349 | 2006-05-11 |
| 1609347822 | Oakridge Heath Care Limited Liability Company | General Practice | 2470 Old Mill Rd, Inman, SC 29349 | 2018-12-16 |
| 1316281199 | Stephanie Nicole Patterson | Pharmacist | 2470 Old Mill Rd, Inman, SC 29349 | 2012-11-19 |
| 1659650968 | Tumana Scott | Massage Therapist | 5073 Highway 9, Inman, SC 29349 | 2011-08-04 |
| 1033366612 | Sonya Lenette Palmer | Pharmacist | 11211 Asheville Hwy, Cvs Pharmacy, Inman, SC 29349 | 2008-08-26 |
| Find all providers in zip 29349 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164675252 | Kirkland Woodruff Clark IIi | Dentist | 8810 Highway 9, Inman, SC 29349-8718 | 2008-11-03 |
| 1609843804 | Cynthia Lee Raines-hart | Dentist | 11631 Asheville Hwy, Suite A, Inman, SC 29349-1855 | 2006-03-07 |
| 1770922932 | Janet Ashton Butler | Dentist | 8810 Highway 9, Inman, SC 29349-8718 | 2013-06-21 |
| 1386968212 | Inman Dental Associates | Dentist | 26 Mill St, Inman, SC 29349-1531 | 2010-03-22 |
| 1265657803 | Charles A Huneycutt | Dentist | 8810 Hwy 9, Inman, SC 29349-0038 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1396342762 | Leonard James Cochrane IIi | Dentist | 150 Bee St Apt 706, Charleston, SC 29401-5706 | 2020-10-07 |
| 1134735129 | Kidz Planet Pediatric Dentistry - Sda Pa | Dentist | 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434 | 2020-09-16 |
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1922624618 | Todays Dental At Lexington LLC | Dentist | 458 Old Cherokee Rd Ste 100, Lexington, SC 29072-6971 | 2020-06-18 |
| 1912522426 | Andrea Ballengee | Dentist | 4405 Highway 17, Murrells Inlet, SC 29576-5097 | 2020-06-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1750919718 | Destination Dental LLC | Dentist | 155 Deacon Tiller Ct Ste 101, Duncan, SC 29334-8880 | 2020-03-27 |
| 1194360024 | Affordable Dentures & Implants - Orangeburg, P.C. | Dentist | 1532 Saint Matthews Rd, Orangeburg, SC 29118-2437 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.