Organization Active NPI

Wyatt Osborne, DMD, LLC

  • General Practice Dentistry
  • Lebanon, OR
National Provider Identifier
1306790787
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WYATT OSBORNE, DMD, LLC
Practice address
21 Cascade Dr
Lebanon, OR 97355-3765
Phone
(541) 570-5818
NPI assigned
Feb 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Wyatt Osborne, DMDNPI 1659050268
Title
Dentist
Phone
(541) 570-5818

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

21 Cascade Dr
Lebanon, OR 97355-3765

Mailing address

29186 Santiam Terrace Rd
Lebanon, OR 97355-9001
Phone (541) 570-5818

National Provider Directory

National Provider Directory

Locations

21 Cascade Dr
Lebanon, OR 97355
Phone (541) 451-1991

Practitioners & affiliated clinicians

Practitioners 1

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": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1306790787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29186 SANTIAM TERRACE RD",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973559001",
            "telephone_number": "541-570-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CASCADE DR",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553765",
            "telephone_number": "541-570-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT OSBORNE, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "WYATT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-570-5818",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.