Provider Demographics
NPI:1336489103
Name:JOSEPH KYLE DONAGHEY,DMD,LLC
Entity Type:Organization
Organization Name:JOSEPH KYLE DONAGHEY,DMD,LLC
Other - Org Name:O'BRIEN DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSPEH
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:DONAGHEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:334-821-8800
Mailing Address - Street 1:836 NORTH DEAN ROAD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830
Mailing Address - Country:US
Mailing Address - Phone:334-821-8800
Mailing Address - Fax:334-821-8838
Practice Address - Street 1:836 NORTH DEAN ROAD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830
Practice Address - Country:US
Practice Address - Phone:334-821-8800
Practice Address - Fax:334-821-8838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty
No126800000XDental ProvidersDental AssistantGroup - Multi-Specialty