Grant B Oserowsky DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRANT B OSEROWSKY DDS PLLC

Doing business as

479 Dental Care

Practice address

1404 SE Eagle Way Ste 2
Bentonville, AR 72712-4841

Phone

(479) 553-9202

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Grant Oserowsky, DDSNPI 1003392218

Title

Ceo

Phone

(417) 825-4000

Specialties & licenses 1

Addresses

Other names 1

• 479 Dental Care Doing business as

Locations

Practitioners 1

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

• Grant Brennan Oserowsky, DDS

  • General Practice Dentistry
  • Springdale, AR
  • NPI 1003392218
  NPD Authorized official

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1255085684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W OXFORD DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589530",
            "telephone_number": "417-825-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 SE EAGLE WAY STE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124841",
            "telephone_number": "479-553-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT B OSEROWSKY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "OSEROWSKY",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-825-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "479 Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Gouveia, LAC
• Megan Graber
• Karen Grace
• Terry Gracy, MHPP
• Nicole Alison Graff, LMSW
• Kyra Evangelina Graves
• Anne Gray, LCSW
• Linda Leflett Gray, MHPP
• Amanda Lea Greathouse, MS, LAC
• Vania Greco

• Dental Clinic/Center in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.