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Contact Information

TIMOTHY M OSBORN, DDS, MD
287 MIDDLESEX AVE
MEDFORD, MA02155-5056
 Phone: 617-286-5780
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TIMOTHY M OSBORN · (Male)

NPI # 1962619684
Status Active
Credentials DDS, MD
Entity Individual
Enumeration date 05/16/2007
Last updated 01/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 243648
  • OR License # D8485
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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