Provider Demographics
NPI:1811544497
Name:OSSA, MARIA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:OSSA
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 CHAMBERLAIN DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-1004
Mailing Address - Country:US
Mailing Address - Phone:740-629-2510
Mailing Address - Fax:
Practice Address - Street 1:2010 GARFIELD AVE STE 1
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-2529
Practice Address - Country:US
Practice Address - Phone:304-422-6477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-20
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0267071223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty