Provider Demographics
NPI:1346392644
Name:OSHEA, KEVIN EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:EDWARD
Last Name:OSHEA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E ROMIE LN STE D
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4210
Mailing Address - Country:US
Mailing Address - Phone:831-422-9908
Mailing Address - Fax:831-422-9130
Practice Address - Street 1:750 E ROMIE LN STE D
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4210
Practice Address - Country:US
Practice Address - Phone:831-422-9908
Practice Address - Fax:831-422-9130
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA385741223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics