| Owens Family Dentistry | |
|
1130 S Hwy 89 Jackson WY 83001-8512 | |
| (307) 733-3848 | |
| (307) 733-8978 |
| Full Name | Owens Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1130 S Hwy 89, Jackson, Wyoming |
| Authorized Official Name and Position | Summer Cathlin Owens (OWNER) |
| Authorized Official Contact | 3077333848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owens Family Dentistry Po Box 629 Jackson WY 83001-0629 Ph: (307) 733-3848 | Owens Family Dentistry 1130 S Hwy 89 Jackson WY 83001-8512 Ph: (307) 733-3848 |
| NPI Number | 1083191035 |
|---|---|
| Provider Enumeration Date | 07/23/2018 |
| Last Update Date | 07/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083191035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 128WY (Wyoming) | Primary |
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