Casey Dillon Osterhout, DMD
Individual provider Active NPI General Practice Dentistry · Wilburton, OK
NPI 1073676862 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073676862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5805 (OK)
- Practice address
- 114 W Main St
Wilburton, OK 74578-4044 - Phone
- (918) 465-3535
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadway Dental, LLC | General Practice | Past | Accepting new patients |
| Mobile Dental Services, LLC | General Practice | Past | Accepting new patients |
| Wilburton Family Dentistry, LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5805 | OK | Yes |
Addresses
Primary practice location
114 W Main St
Wilburton, OK 74578-4044
Mailing address
615 E 17TH St
Stroud, OK 74079-5316
Phone (918) 706-5584
Other providers in Wilburton, OK
- Medical Supply Solutions, Inc
- Minnie Louise Mitchell
- Gary Nelson
- Lillian Ann Nelson
- Samantha Nelson
- Osu Center for Health Sciences
- Candice Lynell Ott
- Panola School District 4
- Christi Pollard
- Mona Quaid
All providers in Wilburton, OK · General Practice Dentistry in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.