Individual
DR. JOHN C. OSBORN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3802 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3413
(865) 992-5821
Mailing address
PO BOX 337, MAYNARDVILLE, TN 37807-0337
(865) 992-5821
(865) 992-3042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS5048
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3225707
—
TN
Enumeration date
10/20/2005
Last updated
07/08/2007
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