MEDICARE: DR. JUSTIN M. OWENS DDS,PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	8538	CO

General Provider Information

NPI Number	:	1306168026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. JUSTIN M. OWENS DDS,PC

Provider Business Mailing Address
First Line	:	1780 S BELLAIRE ST STE 345
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4355
Country	:	US
Telephone Number	:	303-744-1701
Fax Number	:	303-765-4841

Provider Business Practice Location Address
First Line	:	1780 S BELLAIRE ST STE 345
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4355
Country	:	US
Telephone Number	:	303-744-1701
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JUSTIN MICHAEL OWENS
Credential	:	DDS
Telephone Number	:	303-744-1701

Provider Enumeration Date	:	02/22/2010
Last Update Date	:	06/08/2021

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