Organization Active NPI

Osowa Dental, PLLC

  • General Practice Dentistry
  • New Baltimore, MI
National Provider Identifier
1083394225
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OSOWA DENTAL, PLLC
Practice address
35409 23 Mile Rd
New Baltimore, MI 48047-3601
Phone
(586) 725-9330
NPI assigned
Jul 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bernadette O Osowa, DDSNPI 1942379631
Title
Dr.
Phone
(586) 822-6302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

35409 23 Mile Rd
New Baltimore, MI 48047-3601

Mailing address

44892 Rivergate Dr
Clinton Township, MI 48038-1384
Phone (586) 822-6302

National Provider Directory

National Provider Directory

Locations

35409 23 Mile Rd
New Baltimore, MI 48047
Phone (586) 725-9330

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1083394225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44892 RIVERGATE DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381384",
            "telephone_number": "586-822-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35409 23 MILE RD",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480473601",
            "telephone_number": "586-725-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSOWA DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "OSOWA",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "586-822-6302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Baltimore, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.