Provider Demographics
NPI:1821609983
Name:TIMOTHY M. OWENS DDS, PC
Entity Type:Organization
Organization Name:TIMOTHY M. OWENS DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:970-631-6977
Mailing Address - Street 1:3506 LOCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2995
Mailing Address - Country:US
Mailing Address - Phone:970-377-2557
Mailing Address - Fax:970-377-0761
Practice Address - Street 1:3506 LOCHWOOD DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2995
Practice Address - Country:US
Practice Address - Phone:970-377-2557
Practice Address - Fax:970-377-0761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty