Individual
COLBY SHANE SOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2051 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4683
(843) 779-6844
Mailing address
2051 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4683
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
11251
SC
1223E0200X
Endodontics
DN124059
GA
1223E0200X
Endodontics
Primary
DN24017
FL
1223G0001X
General Practice Dentistry
DN24017
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2019
Last updated
02/25/2026
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