Gayle Ainsley Owens, DDS
Individual provider Active NPI General Practice Dentistry · Norwood, MO
NPI 1386796431 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386796431
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 13647 (MO)
- Practice address
- 177 West Burnam
Norwood, MO 65717 - Phone
- (417) 746-2111
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13647 | MO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13647 | MO | Yes |
Addresses
Primary practice location
177 West Burnam
Norwood, MO 65717
Mailing address
6046 E Tranquility St
Rogersville, MO 65742-6473
Phone (417) 889-7258
Other providers in Norwood, MO
- Natalie Gail Cook
- Lester E Cox Medical Centers
- School Dist R 1 Norwood
- Wright County Childrens Home, Inc.
All providers in Norwood, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.