| William D. Owen, Jr.,dds & Debra G. Claycomb,dds, Pllc | |
|
431 Main St South Boston VA 24592-3241 | |
| (434) 572-3205 | |
| (434) 572-8566 |
| Full Name | William D. Owen, Jr.,dds & Debra G. Claycomb,dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 431 Main St, South Boston, Virginia |
| Authorized Official Name and Position | William D. Owen (PART OWNER) |
| Authorized Official Contact | 4345723205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William D. Owen, Jr.,dds & Debra G. Claycomb,dds, Pllc 431 Main St P. O. Box 425 South Boston VA 24592-3241 Ph: (434) 572-3205 | William D. Owen, Jr.,dds & Debra G. Claycomb,dds, Pllc 431 Main St South Boston VA 24592-3241 Ph: (434) 572-3205 |
| NPI Number | 1043357924 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043357924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401004909 (Virginia) | Primary |
Kwang W Kim, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Mineral St, South Boston, VA 24592 Phone: 434-572-4928 Fax: 434-575-0302 | |
Halifax Regional Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-8361 Fax: 434-517-8367 |