Provider Demographics
NPI:1346999042
Name:OSBORNE, BRYANA REESE (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRYANA
Middle Name:REESE
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26893 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-7546
Mailing Address - Country:US
Mailing Address - Phone:210-396-6275
Mailing Address - Fax:
Practice Address - Street 1:26893 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773-7546
Practice Address - Country:US
Practice Address - Phone:210-396-6275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-21
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program