Individual
DR. CHARLES MICHAEL O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, PC
Contact information
Practice address
836 NORTH DEAN RD., AUBURN, AL 36830-2858
(334) 821-8800
(334) 821-8838
Mailing address
5 BUCKHEAD LN, OPELIKA, AL 36804-7645
(334) 821-8800
(334) 821-8838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3882
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00523525
UNITED CONCORDIA
AL
01
—
510-90422
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/21/2007
Last updated
05/18/2015
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