Owen Family Dental LLC

Organization Active NPI Dental Clinic/Center · Owen, WI

NPI 1992376214 · NPPES record last updated Jul 7, 2021

Key facts

NPI
1992376214
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
OWEN FAMILY DENTAL LLC
Practice address
202 N Central Ave
Owen, WI 54460-9785
Phone
(715) 229-2299
NPI assigned
Jul 7, 2021
Organization subpart
No

Authorized official

Name
Daniel Nicholson
Title
Dentist and LLC Owner
Phone
(715) 721-5867

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

202 N Central Ave
Owen, WI 54460-9785

Mailing address

202 N Central Ave
Owen, WI 54460-9785

Other providers in Owen, WI

All providers in Owen, WI · Dental Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.