MEDICARE: DR. HEATHER HUNTLEY 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	1223P0221X	Pediatric Dentistry	7293	KY
2	1223P0221X	Pediatric Dentistry	7348	TN

General Provider Information

NPI Number	:	1770678526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER HUNTLEY OWENS DDS

Provider Business Mailing Address
First Line	:	6000 TROTWOOD AVENUE
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-3527
Country	:	US
Telephone Number	:	931-381-9721
Fax Number	:	931-381-3507

Provider Business Practice Location Address
First Line	:	6000 TROTWOOD AVENUE
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-3527
Country	:	US
Telephone Number	:	931-381-9721
Fax Number	:	931-381-3507

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	03/06/2025

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