| Osa-oms, Llc | |
|
910 Goodyear Ave Gadsden AL 35903-1107 | |
| (256) 492-6363 | |
| (256) 492-0047 |
| Full Name | Osa-oms, Llc |
|---|---|
| Speciality | Dentist |
| Location | 910 Goodyear Ave, Gadsden, Alabama |
| Authorized Official Name and Position | Cecil R. Dorsett (OWNER/ORAL SURGEON) |
| Authorized Official Contact | 2564926363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osa-oms, Llc 910 Goodyear Ave Gadsden AL 35903-1107 Ph: (256) 492-6363 | Osa-oms, Llc 910 Goodyear Ave Gadsden AL 35903-1107 Ph: (256) 492-6363 |
| NPI Number | 1487427969 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Medicare PECOS PAC ID | 1153842018 |
|---|---|
| Medicare Enrollment ID | O20250307000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487427969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Cecil Riley Dorsett |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1922133925 PECOS PAC ID: 8224125349 Enrollment ID: I20111115000640 |
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