Clayton L Owen DDS, PA

Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Cabot, AR

NPI 1740720101 · NPPES record last updated Mar 6, 2017

Key facts

NPI
1740720101
Entity type
Organization (NPI type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
3461 (AR)
Legal business name
CLAYTON L OWEN DDS, PA
Practice address
1306 S Pine St
Cabot, AR 72023-3812
Phone
(501) 941-1700
Fax
(501) 941-1703
NPI assigned
Mar 6, 2017
Organization subpart
No

Authorized official

Name
Dr. Clayton Lee Owen, DDS
Title
Owner
Phone
(501) 941-1700

National Provider Directory

Locations

1306 S Pine St
Cabot, AR 72023
Phone (501) 941-1700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223X0400X 3461 AR Yes

Addresses

Primary practice location

1306 S Pine St
Cabot, AR 72023-3812

Mailing address

1306 S Pine St
Cabot, AR 72023-3812
Phone (501) 941-1700

Other identifiers

IdentifierTypeStateIssuer
163493608MedicaidAR

Other names

  • Owen Orthodontics Other name

Other providers in Cabot, AR

All providers in Cabot, AR · Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

Sources for this page

Verify at the official NPI Registry.