| Jack M. Owens Jr. Dds Pc | |
|
5980 Main St Zachary LA 70791-4029 | |
| (225) 658-0089 | |
| (225) 658-0789 |
| Full Name | Jack M. Owens Jr. Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5980 Main St, Zachary, Louisiana |
| Authorized Official Name and Position | Jack M Owens (OWNER) |
| Authorized Official Contact | 2256580089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack M. Owens Jr. Dds Pc 5980 Main St Zachary LA 70791-4029 Ph: (225) 658-0089 | Jack M. Owens Jr. Dds Pc 5980 Main St Zachary LA 70791-4029 Ph: (225) 658-0089 |
| NPI Number | 1790951770 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790951770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4096 (Louisiana) | Primary |
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