# CASEY J OWEN DDS FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1891191870
- **Authorized official:** DR. CASEY J OWEN DDS (OWNER)
- **Authorized official phone:** (615) 683-6161

## Contact information

- **Practice address:** 14 MAIN ST E, SUITE A, GORDONSVILLE, TN 38563-2036
- **Practice address phone:** (615) 683-6161
- **Practice address fax:** (615) 683-6164
- **Mailing address:** 14 MAIN ST E, SUITE A, GORDONSVILLE, TN 38563-2036
- **Mailing address phone:** (615) 683-6161
- **Mailing address fax:** (615) 683-6164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9320 | TN | Yes |

## Other

- **Enumeration date:** 11/18/2014
- **Last updated:** 11/18/2014