Healthcare Provider Details

I. General information

NPI: 1295463800
Provider Name (Legal Business Name): BRITTANY OSEI-OWUSU DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2022
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 MDG RAMSTEIN AB UNIT 3215
APO AE
09094
US

IV. Provider business mailing address

3250 ZEMKE AVE BLDG 1078
TAMPA FL
33621-5023
US

V. Phone/Fax

Practice location:
  • Phone: 314-479-2316
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS043715
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS043715
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: