Kenneth Osamor Dds Pa

LBN: Smile Conroe, Pa
Kenneth Osamor Dds Pa is an health care organization with primary practice located at 1002 N Loop 336 W , Conroe TX 77301-1829. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Smile Conroe, Pa can be contacted via phone (936) 760-3050, or through Osamor, Kenneth via phone (936) 760-3050.

Contact Information

Primary practice address
1002 N Loop 336 W Conroe TX 77301-1829
Phone: (936) 760-3050
Fax: (936) 441-3068
Website:
Map and Directions
Authorized official contact:
Name: Osamor, Kenneth Doctor of Dental Surgery (DDS)
Phone: (936) 760-3050

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21886 Texas

Profile Details

NPI number 1265648984
LBN Legal business name Smile Conroe, Pa
DBA Doing business as Kenneth Osamor Dds Pa
Authorized official Osamor, Kenneth Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Feb 1st, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265648984 NPPES
Texas MEDICAID 181571401
Texas MEDICAID 181
Texas Other 21886

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