Carol Owens

NPI 1710176789 · on the registry since 2007 · sole proprietor

Practice

Address: 1130 S. Hwy 89
Jackson, WY 83001
Phone: (307) 733-3848
Fax: (307) 733-8978
Organisation at this address: Owens Family Dentistry
James L. Derrico Dds Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: WY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-10-16

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 Wyoming