Healthcare Provider Details

I. General information

NPI: 1346999042
Provider Name (Legal Business Name): BRYANA OSBORNE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2712 SR-34 E
NEWNAN GA
30265
US

IV. Provider business mailing address

2712 SR-34 E
NEWNAN GA
30265
US

V. Phone/Fax

Practice location:
  • Phone: 707-304-0082
  • Fax:
Mailing address:
  • Phone: 210-396-6275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN122768
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: