Provider Demographics
NPI:1245427376
Name:OWE, ANDREW M (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:M
Last Name:OWE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2822 E WARBLER RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-8144
Mailing Address - Country:US
Mailing Address - Phone:206-304-2564
Mailing Address - Fax:
Practice Address - Street 1:855 W UNIVERSITY DR STE 11
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-5557
Practice Address - Country:US
Practice Address - Phone:480-827-0165
Practice Address - Fax:480-827-1650
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ74021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice