DR. SHANNON EDWARD OWENS (NPI# 1770771495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770771495 |
| Entity Type | Individual |
| Full Name | DR. SHANNON EDWARD OWENS |
| Credential | D.D.S., M.S. |
| Practice Address |
1130 South Hwy 89 Jackson WY 83001-0628 |
| Mailing Address |
Po Box 628 Jackson WY 83001-0628 |
| Practice Telephone | 3077333848 |
| Practice Fax Number | 3077338978 |
| Mailing Telephone | 3077333848 |
| Mailing Fax Number | 3077338978 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1081 | WY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963652 | Shannon Victoria Owens | Technician | 1349 W Horizon Ridge Pkwy Apt 418, Henderson, NV 89012-2467 | 2019-07-12 |
| 1922443654 | Shannon Kaye Owens | Counselor | 10289 S Eli Rd, Coleman, OK 73432-8705 | 2013-05-08 |
| 1174988281 | Shannon Owens | Nurse Practitioner | 1012 W Columbia St, Farmington, MO 63640-2902 | 2015-12-17 |
| 1790819159 | Shannon Owens | Counselor | 4025 W 226th St, Torrance, CA 90505-2340 | 2007-03-15 |
| Street Address |
1130 SOUTH HWY 89 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-0628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277291 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 310 W Woodrow Wilson Ave Ste 400, Jackson, MS 39213-7697 | 2020-02-19 |
| 1467771386 | Eric Richard Buchner | Dentist | 190 Murray Guard Dr, Jackson, TN 38305-3609 | 2010-05-18 |
| 1962653592 | David F Elliott | Dentist | 10 S New Prospect Rd, Suite 23, Jackson, NJ 08527-1645 | 2008-10-01 |
| 1194904094 | Bierdeman Othodontics Pa | Dentist | 2680 River Ridge Road, Jackson, MS 39216-5018 | 2007-10-26 |
| 1366631335 | Stephen E Owens Jr. | Dentist | 1130 S Hwy 89, Jackson, WY 83001 | 2007-10-16 |
| 1407040686 | James Ray Hight Jr. | Dentist | 101 Max Lane Drive, Jackson, TN 38305 | 2007-08-30 |
| 1821293820 | Kevin J Robinson | Dentist | 77 Northfork Cv, Jackson, TN 38305-7903 | 2007-06-19 |
| 1295937498 | Dr. Louis B. Guy, Jr.,dds, Mspa | Dentist | 247 Highland Village, Jackson, MS 39211 | 2007-06-01 |
| 1134349160 | Lloyd B. Wolfe Jr. | Dentist | 406 Briarwood Dr Ste 102, Jackson, MS 39206-3059 | 2007-05-01 |
| 1265650931 | Theodore C. Jones | Dentist | 4300 Robinson Rd, Suite B, Jackson, MS 39209 | 2007-04-20 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.