Casey J Owen Dds Family Dentistry Pllc | |
14 Main St E Suite A Gordonsville TN 38563-2036 | |
(615) 683-6161 | |
(615) 683-6164 |
Full Name | Casey J Owen Dds Family Dentistry Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 14 Main St E, Gordonsville, Tennessee |
Authorized Official Name and Position | Casey J Owen (OWNER) |
Authorized Official Contact | 6156836161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Casey J Owen Dds Family Dentistry Pllc 14 Main St E Suite A Gordonsville TN 38563-2036 Ph: (615) 683-6161 | Casey J Owen Dds Family Dentistry Pllc 14 Main St E Suite A Gordonsville TN 38563-2036 Ph: (615) 683-6161 |
NPI Number | 1891191870 |
---|---|
Provider Enumeration Date | 11/18/2014 |
Last Update Date | 11/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891191870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 9320 (Tennessee) | Primary |