Osborne, Ty Dodson
Osborne, Ty Dodson is an sole proprietor health care provider with primary practice located at 90 Main St , Kings Park NY 11754-2719. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Osborne, Ty Dodson can be contacted via phone (631) 269-6812.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 055622 | New York |
Profile Details
| NPI number | 1386964583 |
|---|---|
| LBN Legal business name | Osborne, Ty Dodson |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2010 |
| Last updated | Aug 1st, 2011 - about 15 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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