Kevin M O'Dea is a Endodontics in Roseville, California. Kevin M O'Dea practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Kevin M O'Dea is 1649397480. The last update date is 2007-07-08.
Kevin M O'Dea's current location address is 10 Sierra Gate Plz, Roseville, California. You can contact this provider via phone number 9167863303. The mailing address for Kevin M O'Dea is 10 Sierra Gate Plz, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin M O'Dea |
|---|---|
| Address | 10 Sierra Gate Plz, Roseville, California |
| Phone Number | 9167863303 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1649397480 |
|---|---|
| Provider Enumeration Date | 2007-03-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10 Sierra Gate Plz |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 956786645 |
| Phone Number | 9167863303 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 39553 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique identifier code issued to Kevin M O'Dea by the Centers for Medicare & Medicaid Services?
The Kevin M O'Dea has been assigned the NPI (National Provider Identifier) 1649397480. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kevin M O'Dea is geographically located?
The Kevin M O'Dea is physically situated at the following location: 10 Sierra Gate Plz, Roseville, CA, 956786645.
What is Kevin M O'Dea's area of expertise and its corresponding taxonomy classification?
The Kevin M O'Dea's field of specialization is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kevin M O'Dea receive its 1649397480 assignment from the Centers for Medicare & Medicaid Services?
The Kevin M O'Dea was assigned its 1649397480 by the Centers for Medicare & Medicaid Services on 2007-03-25.
When was the information regarding Kevin M O'Dea most recently updated?
The details pertaining to the Kevin M O'Dea, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.