Individual
DR. PETER D. O'SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 REEF RD, FAIRFIELD, CT 06824-5923
(203) 259-8602
Mailing address
111 REEF RD, FAIRFIELD, CT 06824-5923
(203) 259-8602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008293
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-1619657
TAX ID NO.
CT
Enumeration date
01/22/2007
Last updated
03/28/2017
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