# DR JOHN C OWENS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164049235
- **Authorized official:** JOHN C OWENS DDS (DENTIST/OWNER)
- **Authorized official phone:** (570) 648-7414

## Contact information

- **Practice address:** 184 STATE ROUTE 2026, COAL TOWNSHIP, PA 17866-7813
- **Practice address phone:** (570) 648-7414
- **Practice address fax:** (570) 648-7410
- **Mailing address:** PO BOX 246, SHAMOKIN, PA 17872-0246
- **Mailing address phone:** (570) 648-7414
- **Mailing address fax:** (570) 648-7410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2020
- **Last updated:** 07/06/2020