| Charles E. Owens, Dds, Pc | |
|
13112 Fort St Southgate MI 48195-1102 | |
| (734) 282-0033 | |
| (734) 282-6884 |
| Full Name | Charles E. Owens, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 13112 Fort St, Southgate, Michigan |
| Authorized Official Name and Position | Charles E. Owens (PRESIDENT) |
| Authorized Official Contact | 7342820033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E. Owens, Dds, Pc 13112 Fort St Southgate MI 48195-1102 Ph: (734) 282-0033 | Charles E. Owens, Dds, Pc 13112 Fort St Southgate MI 48195-1102 Ph: (734) 282-0033 |
| NPI Number | 1992918841 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992918841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901008791 (Michigan) | Primary |
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