| Owens Family Dental Care Llc | |
|
124 Longview Dr Suite 8 Destrehan LA 70047-5077 | |
| (985) 764-1615 | |
| (985) 764-1617 |
| Full Name | Owens Family Dental Care Llc |
|---|---|
| Speciality | Dentist |
| Location | 124 Longview Dr, Destrehan, Louisiana |
| Authorized Official Name and Position | Richard L Owens (OWNER) |
| Authorized Official Contact | 9857641615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owens Family Dental Care Llc 124 Longview Dr Suite 8 Destrehan LA 70047-5077 Ph: (985) 764-1615 | Owens Family Dental Care Llc 124 Longview Dr Suite 8 Destrehan LA 70047-5077 Ph: (985) 764-1615 |
| NPI Number | 1699209890 |
|---|---|
| Provider Enumeration Date | 04/13/2017 |
| Last Update Date | 04/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699209890 | NPI | - | NPPES |
| 1235204835 | Other | LA | INDIVIDUAL PROVIDER NPI FOR RICHARD L OWENS DDS |
| 1245639319 | Other | LA | INDIVIDUAL PROVIDER NPI FOR REID M OWENS DDS |
| 1836338 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3633 (Louisiana) | Primary |
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