IndividualActive
Owen Boales, D.M.D.
NPI 1982720520 · General Practice Dentistry · Jasper, FL
Provider details
- NPI number
- 1982720520
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D8791 (FL)
Specialties & taxonomies
Dental Providers
Practice location
1133 4th St Nw
Jasper, FL 32052-5847
Phone: (386) 792-1197
Fax: (386) 792-1048
Approximate (ZIP-level) locationGet directions
Mailing address
1133 4th St Nw
Jasper, FL 32052-5847
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2023-02-02
- Certified
- 2023-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.