Provider Demographics
NPI:1982207668
Name:DANIEL J O'CONNOR DDS PLC
Entity Type:Organization
Organization Name:DANIEL J O'CONNOR DDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:O'CONNOR
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-346-2758
Mailing Address - Street 1:7115 CADE RD
Mailing Address - Street 2:
Mailing Address - City:BROWN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48416-9778
Mailing Address - Country:US
Mailing Address - Phone:810-346-2758
Mailing Address - Fax:810-346-2016
Practice Address - Street 1:7115 CADE RD
Practice Address - Street 2:
Practice Address - City:BROWN CITY
Practice Address - State:MI
Practice Address - Zip Code:48416-9778
Practice Address - Country:US
Practice Address - Phone:810-346-2758
Practice Address - Fax:810-346-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental