Individual
DANETTE E OSBOURNE-SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS, PLLC
Contact information
Practice address
8220 UNIVERSITY EXEC PARK DR, SUITE 105, CHARLOTTE, NC 28262-3380
(704) 549-8878
(704) 549-1088
Mailing address
8220 UNIVERSITY EXEC PARK DR, SUITE 105, CHARLOTTE, NC 28262-3380
(704) 549-8878
(704) 549-1088
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6535
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899019A
—
NC
Enumeration date
08/09/2006
Last updated
07/09/2007
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