Provider Demographics
NPI:1932213345
Name:OWEN, GLENDA G (DDS)
Entity Type:Individual
Prefix:DR
First Name:GLENDA
Middle Name:G
Last Name:OWEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 POST OAK PLACE DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-9705
Mailing Address - Country:US
Mailing Address - Phone:713-622-2248
Mailing Address - Fax:713-622-2269
Practice Address - Street 1:4600 POST OAK PLACE DR
Practice Address - Street 2:SUITE 240
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-9705
Practice Address - Country:US
Practice Address - Phone:713-622-2248
Practice Address - Fax:713-622-2269
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13213122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist