Owsley, Todd Gene

Owsley, Todd Gene is an individual health care provider with primary practice located at 2516 Oakcrest Avenue Suite B, Greensboro NC 27408-1933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Owsley, Todd Gene can be contacted via phone (336) 288-0677.

Contact Information

Primary practice address
2516 Oakcrest Avenue Suite B Greensboro NC 27408-1933
Phone: (336) 288-0677
Fax: (336) 288-0784
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 34801 North Carolina
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 34801 North Carolina

Profile Details

NPI number 1699899823
LBN Legal business name Owsley, Todd Gene
Credentials DDS MD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jan 26th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699899823 NPPES
North Carolina Other 89-9656Y NC MEDICAID DENTAL
North Carolina Other 0180T NC MEDICAID DENTAL
North Carolina MEDICAID 8964709 NC MEDICAID DENTAL

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