Organization
OWENS ORTHODONTIC SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J OWENS SR. DDS, MS (OWNER/PRESIDENT)
(865) 984-7311
Entity
Organization
Contact information
Practice address
1618 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-6206
(865) 984-7311
Mailing address
1618 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-6206
(865) 984-7311
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8366
TN
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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