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LAKE BOWEN DENTAL STUDIO, LLC
NPI 1265392310
Dentist - General Practice in Inman, SC

Active since November 12, 2025
1242 PARKSIDE ACORN DR, INMAN, SC 29349(864) 578-9366 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Bowen Dental Studio, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE BOWEN DENTAL STUDIO, LLC (NPI 1265392310) is a healthcare organization registered as a general practice in Inman, South Carolina and active in the NPI registry since November 2025. The organization lists Kacey Medlin Evatt, Owner, as its authorized official.

NPPES Registry Identity

NPI1265392310
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE BOWEN DENTAL STUDIO, LLC
Location Address1242 PARKSIDE ACORN DRInman, SC 29349-8344
Mailing Address1242 Parkside Acorn DrInman, SC 29349-8344
Phone(864) 578-9366
Organization SubpartNo
Authorized OfficialKacey Medlin EvattOwner · (864) 578-9366
Enumeration DateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1265392310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1242 PARKSIDE ACORN DR, Inman, SC 29349
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Bowen Dental Studio, LLC's NPI number?

The NPI number for Lake Bowen Dental Studio, LLC is 1265392310. It was assigned to this organization in the NPPES registry on November 12, 2025.

Where is Lake Bowen Dental Studio, LLC located?

Lake Bowen Dental Studio, LLC is located at 1242 Parkside Acorn Dr, Inman, SC 29349. The listed phone number is (864) 578-9366.

What is Lake Bowen Dental Studio, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lake Bowen Dental Studio, LLC was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.