MEDICARE: DR. LINDSAY OWENS DDS

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	122300000X	Dentist	13791	TX

General Provider Information

NPI Number	:	1386829356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDSAY OWENS DDS

Provider Business Mailing Address
First Line	:	6801 SNIDER PLZ
Second Line	:	200
City	:	DALLAS
State	:	TX
Zip	:	75205-1366
Country	:	US
Telephone Number	:	214-369-6661
Fax Number	:	214-691-6688

Provider Business Practice Location Address
First Line	:	6801 SNIDER PLZ
Second Line	:	200
City	:	DALLAS
State	:	TX
Zip	:	75205-1366
Country	:	US
Telephone Number	:	214-369-6661
Fax Number	:	214-691-6688

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	01/08/2008

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