William Clyde Osborn, D.M.D.

General Practice Dentistry · Mount Vernon, IL

Individual Active NPI

NPI number 1639241672

Practice location

101 S 27TH St
Mount Vernon, IL 62864-2955
Phone
(618) 244-2625

Open in Google Maps

NPI record

NPI
1639241672
Entity type
Individual (Type 1)
Enumeration date
November 14, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 01901667-IL IL

About Dr. Osborn

William Clyde Osborn, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 101 S 27TH St, Mount Vernon, IL 62864-2955. The NPI number 1639241672 was assigned on November 14, 2006 and the record was last updated on July 8, 2007.

Dr. Osborn lists a license in the registry: #01901667-IL (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of William Clyde Osborn, D.M.D.?

The NPI number is 1639241672.

What is the phone number of Dr. Osborn?

The phone number listed for the practice location is (618) 244-2625.

Where is Dr. Osborn located?

101 S 27TH St, Mount Vernon, IL 62864-2955.

What is the taxonomy code for Dr. Osborn?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Mount Vernon

All General Practice Dentistry providers in Mount Vernon, IL →