Organization
MICHAEL J. O'CONNELL, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J O'CONNELL DMD (OWNER)
(314) 567-1600
Entity
Organization
Contact information
Practice address
718 N NEW BALLAS RD, CREVE COEUR, MO 63141-6716
(314) 567-1600
(314) 567-7902
Mailing address
718 N NEW BALLAS RD, CREVE COEUR, MO 63141-6716
(314) 567-1600
(314) 567-7902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14226
MO
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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