William Charles Odonnell in Pittsfield - Orthodontics And Dentofacial Orthopedics

William Charles Odonnell - NPI 1518043967

William Charles Odonnell is a Orthodontics And Dentofacial Orthopedics in Pittsfield, Massachusetts. William Charles Odonnell practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for William Charles Odonnell is 1518043967. The last update date is 2007-07-08.

William Charles Odonnell's current location address is 12 Southbrook Lane, Pittsfield, Massachusetts. You can contact this provider via phone number 4134431793 and fax number 4134430746. The mailing address for William Charles Odonnell is 12 Southbrook Lane, Pittsfield, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name William Charles Odonnell
Address 12 Southbrook Lane, Pittsfield, Massachusetts
Phone Number 4134431793
Fax Number 4134430746
Sole Proprietor N
Credentials DMD PC

NPI Number Detail

NPI Number 1518043967
Provider Enumeration Date 2006-10-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12 Southbrook Lane
City Pittsfield
State Massachusetts (MA)
Post Code 1201
Phone Number 4134431793
Fax Number 4134430746

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 13078
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
250953 MA --
X11995 MA BLUE CROSS BLUE SHIELD

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FAQs about William Charles Odonnell

What is the unique provider identifier assigned to William Charles Odonnell?

The William Charles Odonnell has been issued the NPI (National Provider Identifier) 1518043967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of William Charles Odonnell?

The William Charles Odonnell is situated at 12 Southbrook Lane, in the city of Pittsfield, state of MA, with the zip code 1201.

What is William Charles Odonnell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for William Charles Odonnell is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.

When did William Charles Odonnell receive its 1518043967 assignment?

The William Charles Odonnell was assigned its 1518043967 on 2006-10-28, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to William Charles Odonnell last refreshed?

The information related to the William Charles Odonnell, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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