Individual
NATHAN WAYNE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
403 E COLLEGE ST, PULASKI, TN 38478-4315
(931) 363-1388
(931) 363-9623
Mailing address
217 MIMOSA DR, PULASKI, TN 38478-5008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8858
TN
1223G0001X
General Practice Dentistry
8858
TN
Other
Enumeration date
06/17/2008
Last updated
11/10/2020
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