Owens, Gary Ernest
Owens, Gary Ernest is an individual health care provider with primary practice located at 630 Lexington Ave , Mansfield OH 44907-1500. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Owens, Gary Ernest can be contacted via phone (419) 756-0711.Contact Information
Primary practice address
630 Lexington Ave
Mansfield OH 44907-1500
Phone: (419) 756-0711
Fax: (419) 756-4886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 13334 | Ohio |
Profile Details
| NPI number | 1730271529 |
|---|---|
| LBN Legal business name | Owens, Gary Ernest |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730271529 | NPPES |
| Ohio | MEDICAID | GA9279161 |
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