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Dr. Ty Dodson Osborne, DDS
General Practice Dentistry in Kings Park, New York
NPI 1386964583

Ty Dodson Osborne is a General Practice Dentistry based in Commack, NY and is specialized in General Practice. Ty Dodson Osborne practices in Kings Park, NY and has the professional credentials of DDS. The NPI Number for Ty Dodson Osborne is 1386964583 and holds a License No. 055622 (New York).

The current practice location address for Ty Dodson Osborne is 90 Main St, Kings Park, NY and can be reached out via phone at 631-269-6812.

Location: 90 Main St, Kings Park, NY, 11725-3238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386964583
Provider Name
Ty Dodson Osborne
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
90 Main St, Kings Park, NY, 11725-3238
Phone Number
631-269-6812
Fax Number
Provider Enumeration Date
06/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
90 Main St
City
Kings Park
State
New York
Zip
11754-2719
Phone Number
631-269-6812
Fax Number
person
Provider Business Mailing Address Details
Address
90 Main St
City
Kings Park
State
New York
Zip
11754-2719
Phone Number
631-269-6812
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
055622 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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