| Owen Dental Center, P.s.c. | |
|
330 W Seminary St Owenton KY 40359-1533 | |
| (502) 484-0091 | |
| Not Available |
| Full Name | Owen Dental Center, P.s.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 W Seminary St, Owenton, Kentucky |
| Authorized Official Name and Position | Leigh M Ward (PRESIDENT) |
| Authorized Official Contact | 5024840091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owen Dental Center, P.s.c. 330 W Seminary St Owenton KY 40359-1533 Ph: (502) 484-0091 | Owen Dental Center, P.s.c. 330 W Seminary St Owenton KY 40359-1533 Ph: (502) 484-0091 |
| NPI Number | 1841355690 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841355690 | NPI | - | NPPES |
| 60001690 | Medicaid | KY | |
| 61900866 | Medicaid | KY | |
| 60002094 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7842 (Kentucky) | Primary |
| 1223G0001X | Dentist - General Practice | 7965 (Kentucky) | Secondary |
Triad Health Systems Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Roland Ave, Owenton, KY 40359 Phone: 502-484-5888 Fax: 859-567-1253 | |
Triad Health Systems Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Highway 22 E, Owenton, KY 40359 Phone: 502-484-2595 Fax: 859-567-1253 |