Osborn, Thomas Patrick

Osborn, Thomas Patrick is an individual health care provider with primary practice located at 1459 Laney Walker Blvd Ad1501, Augusta GA 30912-0002. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Osborn, Thomas Patrick can be contacted via phone (706) 721-0502.

Contact Information

Primary practice address
1459 Laney Walker Blvd Ad1501 Augusta GA 30912-0002
Phone: (706) 721-0502
Fax: (706) 721-6778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DNF000319 Georgia

Profile Details

NPI number 1639121163
LBN Legal business name Osborn, Thomas Patrick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639121163 NPPES
Georgia Other 1418385 TRICARE
Georgia MEDICAID ZG0319 TRICARE

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