Individual
DR. JON OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
504 N MAIN ST, SMITHTON, IL 62285-1518
(618) 233-9012
(618) 233-2399
Mailing address
504 N MAIN ST, SMITHTON, IL 62285-1518
(618) 233-9012
(618) 233-2399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.030660
IL
1223G0001X
General Practice Dentistry
019030660
IL
Other
Enumeration date
07/05/2016
Last updated
12/05/2022
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