Individual
DR. SHANNON EDWARD OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1130 SOUTH HWY 89, JACKSON, WY 83001-0628
(307) 733-3848
(307) 733-8978
Mailing address
PO BOX 628, JACKSON, WY 83001-0628
(307) 733-3848
(307) 733-8978
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1081
WY
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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