Colin P Osborne III DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3703 Issued in NC

Legal business name

COLIN P OSBORNE III DDS PA

Practice address

407 W 27TH St
Lumberton, NC 28358-3019

Phone

(910) 738-9396

Fax

(910) 738-9395

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Colin P. Osborne III, DDS

Title

President

Phone

(910) 738-9396

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1154593770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 569",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283590569",
            "telephone_number": "910-738-9396",
            "fax_number": "910-738-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583019",
            "telephone_number": "910-738-9396",
            "fax_number": "910-738-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN P OSBORNE III DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-738-9396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996531",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lumberton, NC
• Providers in Lumberton, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.