Provider Demographics
NPI:1235222076
Name:FLANNERY, PATRICK O (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:O
Last Name:FLANNERY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8250 BECKETT PARK DR
Mailing Address - Street 2:STE A
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-9314
Mailing Address - Country:US
Mailing Address - Phone:513-860-0900
Mailing Address - Fax:513-870-0901
Practice Address - Street 1:6962 TYLERSVILLE RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069
Practice Address - Country:US
Practice Address - Phone:513-779-9800
Practice Address - Fax:513-779-8845
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19169122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist