Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Bowen Dental

Organization Dentist · NPI 1417053406

Lake Bowen Dental provides Dentist services in Inman, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

8810 Hwy 9
Inman, SC 29349
Phone: (864) 592-1647
Fax: (864) 592-0630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence SC1863 (SC)
Dentist Taxonomy 122300000X · Licence SC1228 (SC)
Dentist Taxonomy 122300000X · Licence SC3766 (SC)

Record details

NPI number1417053406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Asa Shirley — Dentist/Owner · (864) 592-1647
NPI enumeratedSeptember 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 38, Inman, SC 29349

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