Owen Dental, Llc.

NPI #1881280030 in Smithton, Illinois

Provider Information

NPI Number: 1881280030
Entity Type: Organization
Organization Name: Owen Dental, Llc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 11, 2020
Last Updated: Jul 29, 2021

Practice Location

Address: 504 N MAIN ST
City: Smithton
State: Illinois
ZIP Code: 62285-1518
Phone: (618) 233-9012

Authorized Official

Name: DR. JON OWEN, DMD
Title: PRESIDENT/DENTIST
Phone: (618) 406-0965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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