Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982720520 Individual Practitioner Male Practitioner

Dr. Owen J Boales , DMD

Dentist - General Practice • Jasper, FL

Professional Overview & Biography Verified Profile Summary

Dr. Owen Boales, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jasper, FL. Practice services are available at 1133 4TH ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1133 4th St Nw

Jasper, FL 320525847

Telephone 3867921197
Fax 3867921048

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jasper, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Jasper, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-02
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL D8791

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Jerry B. Smith , DMD

Dentist - General Practice

NPI 1659393916

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 02, 2023

Registered at 1133 4TH ST NW, JASPER, FL 320525847 (Tel: 3867921197)

📍
Updated Business Mailing Address February 02, 2023

Registered at 1133 4TH ST NW, JASPER, FL 320525847 (Tel: 3867921197)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10920 BAYMEADOWS RD STE 5, JACKSONVILLE, FL 322564571 (Tel: 9043633559)

📍
Updated Business Mailing Address July 08, 2007

Registered at 10920 BAYMEADOWS RD STE 5, JACKSONVILLE, FL 322564571 (Tel: 9043633559)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as OWEN BOALES, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D8791 in FL)

🟢
Initial NPI Registration & Enumeration March 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982720520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: February 02, 2023
Sole Proprietor: Yes

Mailing Address

1133 4th St Nw

Jasper, FL 320525847

Phone: 3867921197

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.