John C. Osborn, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS5048 Issued in TN

Practice address

3802 Maynardville Hwy
Maynardville, TN 37807-3413

Phone

(865) 992-5821

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• House Mountain Dentistry

  • General Practice Dentistry
  • Maynardville, TN
  • NPI 1558957159
  NPD (past)
• House Mountain Dentistry

  • Dentist
  • Blaine, TN
  • NPI 1962343269
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306835525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378070337",
            "telephone_number": "865-992-5821",
            "fax_number": "865-992-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 MAYNARDVILLE HWY",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073413",
            "telephone_number": "865-992-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "JOHN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS5048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3225707",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie S Newman, FNP-BC
• Kenneth Nicley, PA
• Abigail Grace Norman, M.S. CCC-SLP
• Melanie Dupree Norman
• Andrew Baxter Osborn, D.D.S
• Karissa Peterson
• Joy M Petree, RN
• Mary Elizabeth Phillips, LMSW
• Prodigal Primary Care PC
• Deidra Lane Rasnick, RN

• General Practice Dentistry in Maynardville, TN
• Providers in Maynardville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.