IndividualActive
Owen Wilson, DMD
NPI 1619174661 · General Practice Dentistry · Leitchfield, KY
Owen Wilson, DMD is a General Practice Dentistry provider in Leitchfield, KY (NPI 1619174661).
Provider details
- NPI number
- 1619174661
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 5614 (KY)
Practice location
1713 Elizabethtown Rd
Leitchfield, KY 42754-8128
Phone: (270) 259-3003
Fax: (270) 259-5408
Street-level locationGet directions
Mailing address
1713 Elizabethtown Rd
Leitchfield, KY 42754-8128
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.