Provider Demographics
NPI:1891958955
Name:OSGA, ADAM PAUL (DDS)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:PAUL
Last Name:OSGA
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 1:819 S MARKET ST
Mailing Address - Street 2:
Mailing Address - City:BRAZORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77422-5679
Mailing Address - Country:US
Mailing Address - Phone:979-798-4493
Mailing Address - Fax:
Practice Address - Street 1:819 S MARKET ST
Practice Address - Street 2:
Practice Address - City:BRAZORIA
Practice Address - State:TX
Practice Address - Zip Code:77422-5679
Practice Address - Country:US
Practice Address - Phone:979-798-4493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD7550122300000X, 1223G0001X
MI29010198261223G0001X
TX25166122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice