Michael O'Donnell, DMD
Dentist, General Practice in Iselin, NJ. Individual provider (NPI-1).
NPI number1164537742
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164537742
- Entity type
- Individual (NPI-1)
- Name
- Michael O'Donnell
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 22DI01302400 | NJ | Yes |
Practice location
37 Bloomfield AveIselin, NJ 08830-2139
Phone 732-283-1735
Mailing address
37 Bloomfield AveIselin, NJ 08830-2139
Phone 732-283-1735
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All 14 General Practice Dentistry providers in Iselin · All 433 providers in Iselin
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