Osborne Dentistry Registry #1356504-97 | |
150 Market St Lebanon OR 97355-2334 | |
(541) 451-4300 | |
(541) 451-4799 |
Full Name | Osborne Dentistry Registry #1356504-97 |
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Speciality | Dentist - General Practice |
Location | 150 Market St, Lebanon, Oregon |
Authorized Official Name and Position | Kevin E. Osborne (DENTIST) |
Authorized Official Contact | 5414514300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Osborne Dentistry Registry #1356504-97 150 Market St Lebanon OR 97355-2334 Ph: (541) 451-4300 | Osborne Dentistry Registry #1356504-97 150 Market St Lebanon OR 97355-2334 Ph: (541) 451-4300 |
NPI Number | 1003898073 |
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Provider Enumeration Date | 11/16/2005 |
Last Update Date | 05/23/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003898073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D7346 (Oregon) | Secondary |
1223G0001X | Dentist - General Practice | D5083 (Oregon) | Primary |
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