Organization
OWENS FAMILY DENTAL CARE LLC
Active
Other names
Richard L Owens
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L OWENS D.D.S. (OWNER)
(985) 764-1615
Entity
Organization
Contact information
Practice address
124 LONGVIEW DR, SUITE 8, DESTREHAN, LA 70047-5077
(985) 764-1615
(985) 764-1617
Mailing address
124 LONGVIEW DR, SUITE 8, DESTREHAN, LA 70047-5077
(985) 764-1615
(985) 764-1617
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3633
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235204835
INDIVIDUAL PROVIDER NPI FOR RICHARD L OWENS DDS
LA
01
—
1245639319
INDIVIDUAL PROVIDER NPI FOR REID M OWENS DDS
LA
05
—
1836338
—
LA
Enumeration date
04/13/2017
Last updated
04/15/2017
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