Individual
DR. AMY MARIA O'CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
828 NEWFIELD ST, MIDDLETOWN, CT 06457-1857
(608) 613-0553
Mailing address
828 NEWFIELD ST, MIDDLETOWN, CT 06457-1857
(608) 613-0553
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
010941
CT
1223P0221X
Pediatric Dentistry
056104
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2010
Last updated
10/25/2018
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