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Individual

PAUL JAMES MC CONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
731 N GREEN RIVER RD, EVANSVILLE, IN 47715-2415
(812) 476-3002
(812) 476-3027
Mailing address
731 N GREEN RIVER RD, EVANSVILLE, IN 47715-2415
(812) 476-3002
(812) 476-3027

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011762A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201064950
IN
Enumeration date
07/08/2008
Last updated
09/26/2012
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