Charles Eugene Owens Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10158 Issued in GA

Practice address

2364 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4030

Phone

(706) 861-4930

Fax

(706) 866-2109

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144348160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2307",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307420307",
            "telephone_number": "706-861-4930",
            "fax_number": "706-866-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 BATTLEFIELD PKWY",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424030",
            "telephone_number": "706-861-4930",
            "fax_number": "706-866-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "CHARLES",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers Inc
• Oglethorpe Physician Services, LLC
• Nancy J Olson, PTA
• Meagan Oslund, OTD, OTR/L
• Randall K Overton, RPH
• Marilyn R Owens, PTA
• Katherine Suzanne Palmer, MS, CCC-SLP
• Trinity Grace Parham, CCC-SLP
• Ih Koo Park, MD
• David F Parker, RPH

• All providers in Ft Oglethorpe, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.