Provider Demographics
NPI:1659529170
Name:O'DONNELL, BARBARA GAIL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:GAIL
Last Name:O'DONNELL
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
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Mailing Address - Street 1:300 HEATHERWILDE BLVD
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3519
Mailing Address - Country:US
Mailing Address - Phone:512-989-8811
Mailing Address - Fax:512-989-1525
Practice Address - Street 1:300 HEATHERWILDE BLVD
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-3519
Practice Address - Country:US
Practice Address - Phone:512-989-8811
Practice Address - Fax:512-989-1525
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188291223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics