Clayton L Owen in Cabot - Orthodontics And Dentofacial Orthopedics

Clayton L Owen - NPI 1699789172

Clayton L Owen is a Orthodontics And Dentofacial Orthopedics in Cabot, Arkansas. Clayton L Owen practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Clayton L Owen is 1699789172. The last update date is 2007-07-08.

Clayton L Owen's current location address is 1106 South Pine Street, Cabot, Arkansas. You can contact this provider via phone number 5019411700 and fax number 5019411703. The mailing address for Clayton L Owen is 1106 South Pine Street, Cabot, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Clayton L Owen
Address 1106 South Pine Street, Cabot, Arkansas
Phone Number 5019411700
Fax Number 5019411703
Sole Proprietor Y
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1699789172
Provider Enumeration Date 2006-07-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1106 South Pine Street
City Cabot
State Arkansas (AR)
Post Code 72023
Phone Number 5019411700
Fax Number 5019411703

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 3461
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1624816 AR UNITED CONCORDIA PROVIDER

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FAQs about Clayton L Owen

What is the unique 10-digit identifier code assigned to Clayton L Owen by the Centers for Medicare & Medicaid Services?

The Clayton L Owen has been issued the NPI (National Provider Identifier) 1699789172 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Clayton L Owen located?

The Clayton L Owen is located at 1106 South Pine Street, Cabot, AR 72023.

What is Clayton L Owen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Clayton L Owen is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.

On what date was the 1699789172 assigned to Clayton L Owen?

The Clayton L Owen was issued its 1699789172 on 2006-07-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Clayton L Owen most recently updated or revised?

The information pertaining to Clayton L Owen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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