Individual
ANDREW PETER OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2600 BELL RD, MONTGOMERY, AL 36117-4375
(256) 303-5157
Mailing address
848 EVERGREEN RD, FALKVILLE, AL 35622-5504
(256) 303-5157
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D.0006762-C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2018
Last updated
09/01/2020
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