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Organization
OWEN DENTAL CENTER, P.S.C.
Active
Organization
OWEN DENTAL CENTER, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH M WARD D.M.D (PRESIDENT)
(502) 484-0091
Entity
Organization
Contact information
Practice address
330 W SEMINARY ST, OWENTON, KY 40359-1533
(502) 484-0091
Mailing address
330 W SEMINARY ST, OWENTON, KY 40359-1533
(502) 484-0091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7842
KY
1223G0001X
General Practice Dentistry
7965
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60001690
—
KY
05
—
60002094
—
KY
05
—
61900866
—
KY
Enumeration date
12/22/2006
Last updated
08/22/2020
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