Provider Demographics
NPI:1194614941
Name:OWENS, ALICIA (DDS)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:OWENS
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 1:3355 CROOKED TREE LN APT 67
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-9633
Mailing Address - Country:US
Mailing Address - Phone:517-240-8634
Mailing Address - Fax:
Practice Address - Street 1:185 N FROST DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-5742
Practice Address - Country:US
Practice Address - Phone:989-792-6621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901602709122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist