Individual
DR. DANIEL J O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5510 MEDICAL CIR, MADISON, WI 53719-1239
(608) 274-0028
Mailing address
5510 MEDICAL CIR, MADISON, WI 53719-1239
(608) 274-0028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001590
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33561700
—
WI
Enumeration date
10/05/2006
Last updated
07/09/2007
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