Individual
DR. RICHARD PIERCE OSBORNE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1831 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2615
(479) 521-6400
(479) 521-0164
Mailing address
2001 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2619
(479) 521-6400
(479) 521-0164
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3262
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58605
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/20/2006
Last updated
04/02/2018
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