Provider Demographics
NPI:1699830059
Name:ODONNELL, HUGH JOSEPH JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:JOSEPH
Last Name:ODONNELL
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:3057 COLLEGE HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4875
Mailing Address - Country:US
Mailing Address - Phone:610-433-2357
Mailing Address - Fax:610-433-9133
Practice Address - Street 1:3057 COLLEGE HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-4875
Practice Address - Country:US
Practice Address - Phone:610-433-2357
Practice Address - Fax:610-433-9133
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS0194371223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry