JEREL N OWENS DMD PC NPI 1437546439

NPI Information

NPI: 1437546439
Provider Name: JEREL N OWENS, DMD, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
15344 W MCNICHOLS RD
DETROIT, MI
ZIP 48235
Phone: (313) 273-0640
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JEREL N OWENS, DMD, PC is a dental clinic center in Detroit, MI. JEREL N OWENS, DMD, PC NPI is 1437546439. The provider is registered as an organization entity type.

The provider's business location address is:

15344 W MCNICHOLS RD
DETROIT, MI
ZIP 48235-722
Phone: (313) 273-0640
Fax: (313) 273-0118

The provider's authorized official is Jerel Nathaniel Owens .
The authorized official title is President and has the following contact phone number (313) 273-0640.

The enumeration date for this NPI number is 4/17/2015 and was last updated on 4/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	2901011444	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1760633747	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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