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General NPI Number Information
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NPI Number | 1679436745
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Entity Type | Organization
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Legal Business Name | OWENS DENTAL LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 91 E 4TH AVE
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City | AFTON
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State | WY
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Zip | 83110
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Country | US
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Telephone | 307-885-5276
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 609
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City | AFTON
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State | WY
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Zip | 83110-0609
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Country | US
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Telephone | 307-885-5276
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MEGAN P OWENS
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Credential | RDH
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Telephone | 307-248-1255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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