Individual
DR. JAMES W OSBORNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10760 E 350 HWY, RAYTOWN, MO 64138-1815
(816) 358-9691
(816) 358-5116
Mailing address
222 N WINNEBAGO DR, LAKE WINNEBAGO, MO 64034-9319
(816) 847-2780
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011806
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12489023
BLUE CROSS BLUE SHIELD KC
MO
01
—
801465
UNITED CONCORDIA
MO
Enumeration date
02/17/2006
Last updated
07/08/2007
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