Individual
MICHAEL V O'SHELL
Active
Individual
MICHAEL V O'SHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1405052
UNITED CONCORDIA
—
01
—
86D385
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/30/2006
Last updated
07/08/2007
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