NPI 1093981011

Owen Dental, PC

Organisation General Practice Dentistry Idaho Falls, ID

Practice location

Address: 333 S Woodruff Ave, Idaho Falls, ID 83401-4322
Phone: (208) 523-4700

Authorised official

Name: John Wendell Owen
Title: Dentist
Phone: (208) 523-4700

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D3888 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1093981011
Entity type: Organization
NPI issued: 30 Apr 2008
Record last updated: 2 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.