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Mathew Owens, DMD
NPI 1043694912 · on the registry since 2015
Practice
- Address
- 87 S Burnt Mill Rd
La Fayette, GA 30728 - Phone
- (706) 620-4494
- Fax
- (706) 657-2958
- Organisation at this address
- Primary Health Care Center Of Dade, Inc.
Primary Health Care Center Of Dade, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia