Provider Demographics
NPI:1073756466
Name:O'CONNELL, MARGARET JUNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:JUNE
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 INDIA HOOK RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-2783
Mailing Address - Country:US
Mailing Address - Phone:407-923-1348
Mailing Address - Fax:
Practice Address - Street 1:1144 INDIA HOOK RD
Practice Address - Street 2:SUITE F
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2783
Practice Address - Country:US
Practice Address - Phone:407-923-1348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC45671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice