Provider Demographics
NPI:1134095607
Name:OWENS, RONALD EDWIN II (DMD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:EDWIN
Last Name:OWENS
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2039 HECKLE ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-4270
Mailing Address - Country:US
Mailing Address - Phone:706-825-5693
Mailing Address - Fax:
Practice Address - Street 1:9596 BENTLEY DR
Practice Address - Street 2:
Practice Address - City:GROVETOWN
Practice Address - State:GA
Practice Address - Zip Code:30813-0279
Practice Address - Country:US
Practice Address - Phone:706-305-9560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN1239401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice