Tyler Owens, DMD | |
3100 E Zora St, Webb City, MO 64870-9770 | |
(417) 228-8286 | |
(512) 442-6074 |
Full Name | Tyler Owens |
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Gender | Male |
Speciality | Dentist - Pediatric Dentistry |
Location | 3100 E Zora St, Webb City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609268861 | NPI | - | NPPES |
200715230A | Medicaid | OK | |
201253250A | Medicaid | KS | |
830082149 | Medicaid | MO |
Entity Name | Community Health Center Of Southeast Kansas Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163 |
Entity Name | Building Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295350049 PECOS PAC ID: 1759706088 Enrollment ID: O20200804002331 |
Mailing Address | Practice Location Address |
---|---|
Tyler Owens, DMD 400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619 Ph: (918) 998-0996 | Tyler Owens, DMD 3100 E Zora St, Webb City, MO 64870-9770 Ph: (417) 228-8286 |
Brandon Casey Gooch, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 E Zora St, Webb City, MO 64870 Phone: 417-228-8286 | |
Dr. Matthew S Stiles, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3100 E Zora St, Webb City, MO 64870 Phone: 417-228-8286 | |
Dr. William Edward Rice, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1601 S Madison St, Webb City, MO 64870 Phone: 417-673-3011 Fax: 417-673-3011 | |
Dr. Stuart Christian Mauger, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 E Zora St, Webb City, MO 64870 Phone: 417-228-8286 | |
Dr. Kevin Lloyd Caldwell, D.D.S., P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 624 W Broadway St, Webb City, MO 64870 Phone: 417-673-1988 Fax: 417-673-7029 | |
Dr. Sai Vineetha Duddu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 S Madison St Ste P, Webb City, MO 64870 Phone: 417-392-6090 |