Rachel Glynn Osborne, D.M.D.
Individual provider Active NPI Dentist · Locust Fork, AL
NPI 1457514499 · NPPES record last updated Nov 4, 2009
Key facts
- NPI
- 1457514499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5624 (AL)
- Practice address
- 29984 State Hwy 79
Suite 300
Locust Fork, AL 35097 - Phone
- (205) 681-3050
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5624 | AL | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5624 | AL | Yes |
Addresses
Primary practice location
29984 State Hwy 79
Suite 300
Locust Fork, AL 35097
Mailing address
PO Box 121
Locust Fork, AL 35097
Phone (205) 681-3050
Other providers in Locust Fork, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.