Randolph Patrick O'Connor in Woodstock - Endodontics
Randolph Patrick O'Connor - NPI 1770604951
Randolph Patrick O'Connor is a Endodontics in Woodstock, Georgia. Randolph Patrick O'Connor practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Randolph Patrick O'Connor is 1770604951. The last update date is 2007-07-08.
Randolph Patrick O'Connor's current location address is 271 Heritage Walk, Woodstock, Georgia. You can contact this provider via phone number 7709240423. The mailing address for Randolph Patrick O'Connor is 271 Heritage Walk, Woodstock, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph Patrick O'Connor |
|---|---|
| Address | 271 Heritage Walk, Woodstock, Georgia |
| Phone Number | 7709240423 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1770604951 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 271 Heritage Walk |
|---|---|
| City | Woodstock |
| State | Georgia (GA) |
| Post Code | 301883876 |
| Phone Number | 7709240423 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 10416 |
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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 10-digit identification code assigned to Randolph Patrick O'Connor by the Centers for Medicare & Medicaid Services?
The Randolph Patrick O'Connor has been issued the NPI (National Provider Identifier) 1770604951, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randolph Patrick O'Connor's physical address?
The Randolph Patrick O'Connor is physically located at 271 Heritage Walk, in the city of Woodstock, GA, with the postal code 301883876.
What is the Randolph Patrick O'Connor's specialty and taxonomy code?
The Randolph Patrick O'Connor's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770604951 to Randolph Patrick O'Connor?
The Centers for Medicare & Medicaid Services originally issued the 1770604951 to Randolph Patrick O'Connor on 2007-04-03.
When was the information related to Randolph Patrick O'Connor most recently updated or refreshed?
The details pertaining to the Randolph Patrick O'Connor, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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