Provider Demographics
NPI:1770678526
Name:OWENS, HEATHER HUNTLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:HUNTLEY
Last Name:OWENS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:MICHELLE
Other - Last Name:HUNTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1706 WEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-3527
Mailing Address - Country:US
Mailing Address - Phone:931-381-9721
Mailing Address - Fax:931-381-3507
Practice Address - Street 1:1706 WEDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3527
Practice Address - Country:US
Practice Address - Phone:931-381-9721
Practice Address - Fax:931-381-3507
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN73481223P0221X
KY72931223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry