Individual
JAMES O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
25 AGIN WAY, MILTON, KY 40045-1509
(502) 268-3192
(502) 268-5903
Mailing address
25 AGIN WAY, MILTON, KY 40045-1509
(502) 268-3192
(502) 268-5903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5403
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60054038
—
KY
Enumeration date
01/13/2012
Last updated
01/13/2012
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