Brian Costello O'Leary in Irmo - Orthodontics And Dentofacial Orthopedics
Brian Costello O'Leary - NPI 1356569107
Brian Costello O'Leary is a Orthodontics And Dentofacial Orthopedics in Irmo, South Carolina. Brian Costello O'Leary practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Brian Costello O'Leary is 1356569107. The last update date is 2007-07-08.
Brian Costello O'Leary's current location address is 1544 Old Tamah Rd, Irmo, South Carolina. You can contact this provider via phone number 8037327223 and fax number 8037325985. The mailing address for Brian Costello O'Leary is 1544 Old Tamah Rd, Irmo, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Costello O'Leary |
|---|---|
| Address | 1544 Old Tamah Rd, Irmo, South Carolina |
| Phone Number | 8037327223 |
| Fax Number | 8037325985 |
| Sole Proprietor | N |
| Credentials | DMD, MS |
NPI Number Detail
| NPI Number | 1356569107 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1544 Old Tamah Rd |
|---|---|
| City | Irmo |
| State | South Carolina (SC) |
| Post Code | 290639000 |
| Phone Number | 8037327223 |
| Fax Number | 8037325985 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 3493 (ORTHO |
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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 |
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What is the unique 10-digit identification code assigned to Brian Costello O'Leary by the Centers for Medicare & Medicaid Services?
The Brian Costello O'Leary has been issued the NPI (National Provider Identifier) 1356569107, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brian Costello O'Leary's facilities are geographically located?
The facilities of Brian Costello O'Leary are physically situated at the following location: 1544 Old Tamah Rd, Irmo, SC, 290639000.
What is Brian Costello O'Leary's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian Costello O'Leary is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356569107 to Brian Costello O'Leary?
The Centers for Medicare & Medicaid Services originally issued the 1356569107 to Brian Costello O'Leary on 2007-04-24.
As of what date was the information regarding Brian Costello O'Leary, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian Costello O'Leary, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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