| Owen Dental, Llc. | |
|
504 N Main St Smithton IL 62285-1518 | |
| (618) 233-9012 | |
| (618) 233-2399 |
| Full Name | Owen Dental, Llc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 504 N Main St, Smithton, Illinois |
| Authorized Official Name and Position | Jon Owen (PRESIDENT/DENTIST) |
| Authorized Official Contact | 6184060965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owen Dental, Llc. 8808 Wheat Dr Troy IL 62294-2272 Ph: (618) 406-0965 | Owen Dental, Llc. 504 N Main St Smithton IL 62285-1518 Ph: (618) 233-9012 |
| NPI Number | 1881280030 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881280030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Bircher Family Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 N Main St, Smithton, IL 62285 Phone: 618-233-9012 |