# JIMMY OWENS DDS PC

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

## Provider details

- **NPI number:** 1831491653
- **Authorized official:** DR. JIMMY D OWENS DDS (CEO)
- **Authorized official phone:** (806) 745-3381

## Contact information

- **Practice address:** 2736 82ND ST, LUBBOCK, TX 79423-1428
- **Practice address phone:** (806) 745-3381
- **Practice address fax:** (806) 745-3382
- **Mailing address:** 2736 82ND ST, LUBBOCK, TX 79423-1428
- **Mailing address phone:** (806) 745-3381
- **Mailing address fax:** (806) 745-3382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 11844 | TX | Yes |

## Other

- **Enumeration date:** 11/30/2010
- **Last updated:** 11/30/2010
