Provider Demographics
NPI:1881089282
Name:OWENS, CRAIG (DDS)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:OWENS
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 1:2990 E 17TH AVE APT 303
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1673
Mailing Address - Country:US
Mailing Address - Phone:303-349-1745
Mailing Address - Fax:
Practice Address - Street 1:1407 W 84TH AVE # SUTITEB8
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80260-4781
Practice Address - Country:US
Practice Address - Phone:719-323-2356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002024751223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry