Jerel Nathaniel Owens in Detroit - Dentist
Jerel Nathaniel Owens - NPI 1841303765
Jerel Nathaniel Owens is a Dentist in Detroit, Michigan. Jerel Nathaniel Owens practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jerel Nathaniel Owens is 1841303765. The last update date is 2022-12-15.
Jerel Nathaniel Owens's current location address is 15400 W Mcnichols Rd, Detroit, Michigan. You can contact this provider via phone number 3138355990 and fax number 3138355920. The mailing address for Jerel Nathaniel Owens is 15400 W Mcnichols Rd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerel Nathaniel Owens |
|---|---|
| Address | 15400 W Mcnichols Rd, Detroit, Michigan |
| Phone Number | 3138355990 |
| Fax Number | 3138355920 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1841303765 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2022-12-15 |
Provider Mailing Address Detail
| Address | 15400 W Mcnichols Rd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482353724 |
| Phone Number | 3138355990 |
| Fax Number | 3138355920 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2901011444 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 88183 | MI | DELTA DENTAL | |
| 11293190 | MI | CAQH | |
| 4718431 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerel Nathaniel Owens by the Centers for Medicare & Medicaid Services?
The Jerel Nathaniel Owens has been issued the NPI (National Provider Identifier) 1841303765 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jerel Nathaniel Owens's physical address?
The Jerel Nathaniel Owens is physically located at 15400 W Mcnichols Rd, in the city of Detroit, MI, with the postal code 482353724.
What is the Jerel Nathaniel Owens's specialty and taxonomy code?
The Jerel Nathaniel Owens's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1841303765 to Jerel Nathaniel Owens?
The Centers for Medicare & Medicaid Services assigned the 1841303765 to Jerel Nathaniel Owens on 2006-08-16.
As of what date were the details pertaining to Jerel Nathaniel Owens last refreshed?
The information related to the Jerel Nathaniel Owens, including its address, specialty, and other relevant details, was last updated on 2022-12-15.