Provider Demographics
NPI:1558859488
Name:INSEL, OWEN SAMUEL (DMD)
Entity type:Individual
Prefix:DR
First Name:OWEN
Middle Name:SAMUEL
Last Name:INSEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:331 NEWMAN SPRINGS RD STE 220
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5792
Mailing Address - Country:US
Mailing Address - Phone:732-807-0877
Mailing Address - Fax:201-751-1680
Practice Address - Street 1:16 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-4818
Practice Address - Country:US
Practice Address - Phone:201-342-7353
Practice Address - Fax:201-342-7982
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2025-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ22DI030765001223S0112X, 204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery