| Drs Moss And Owen | |
|
310 Hampton Park Camden SC 29020 | |
| (803) 432-2155 | |
| (803) 432-7744 |
| Full Name | Drs Moss And Owen |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 Hampton Park, Camden, South Carolina |
| Authorized Official Name and Position | William L Owen (OWNER PARTNER) |
| Authorized Official Contact | 8034322155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Moss And Owen Po Box 1647 Camden SC 29021 Ph: (803) 432-2155 | Drs Moss And Owen 310 Hampton Park Camden SC 29020 Ph: (803) 432-2155 |
| NPI Number | 1295929388 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 08/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295929388 | NPI | - | NPPES |
| 821272 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | SC2127-DR OWEN (South Carolina) | Primary |
| 1223G0001X | Dentist - General Practice | SC1815-DR MOSS (South Carolina) | Secondary |
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