Provider Demographics
NPI:1871235291
Name:JUNIOR OSINDE DDS FAMILY DENTISTRY PLLC
Entity Type:Organization
Organization Name:JUNIOR OSINDE DDS FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIPHAS
Authorized Official - Middle Name:
Authorized Official - Last Name:OSINDE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-563-3529
Mailing Address - Street 1:407 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-2517
Mailing Address - Country:US
Mailing Address - Phone:972-563-3529
Mailing Address - Fax:
Practice Address - Street 1:407 W HIGH ST
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-2517
Practice Address - Country:US
Practice Address - Phone:972-563-3529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental