Individual
MICHAEL JOHN OCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD LLC
Contact information
Practice address
718 N NEW BALLAS, CREVE COEUR, MO 63141
(314) 567-1600
(314) 567-7902
Mailing address
718 N NEW BALLAS, CREVE COEUR, MO 63141
(314) 567-1600
(314) 567-7902
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14226
MO
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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