Kevin William O'Shaughnessy in Jacksonville Beach - Orthodontics And Dentofacial Orthopedics
Kevin William O'Shaughnessy - NPI 1770788721
Kevin William O'Shaughnessy is a Orthodontics And Dentofacial Orthopedics in Jacksonville Beach, Florida. Kevin William O'Shaughnessy practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kevin William O'Shaughnessy is 1770788721. The last update date is 2012-01-06.
Kevin William O'Shaughnessy's current location address is 210 11th Ave N Apt 102, Jacksonville Beach, Florida. You can contact this provider via phone number 9046251578. The mailing address for Kevin William O'Shaughnessy is 210 11th Ave N Apt 102, Jacksonville Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin William O'Shaughnessy |
|---|---|
| Address | 210 11th Ave N Apt 102, Jacksonville Beach, Florida |
| Phone Number | 9046251578 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1770788721 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2012-01-06 |
Provider Mailing Address Detail
| Address | 210 11th Ave N Apt 102 |
|---|---|
| City | Jacksonville Beach |
| State | Florida (FL) |
| Post Code | 322507265 |
| Phone Number | 9046251578 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DN 16801 |
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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 identifier code issued to Kevin William O'Shaughnessy by the Centers for Medicare & Medicaid Services?
The Kevin William O'Shaughnessy has been assigned the NPI (National Provider Identifier) 1770788721. 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 provide the complete physical location address of Kevin William O'Shaughnessy?
The Kevin William O'Shaughnessy is physically situated at 210 11Th Ave N Apt 102, in the city of Jacksonville Beach, state of FL, with the postal code 322507265.
What is the area of specialization for Kevin William O'Shaughnessy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin William O'Shaughnessy is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did Kevin William O'Shaughnessy receive its 1770788721 assignment from the Centers for Medicare & Medicaid Services?
The Kevin William O'Shaughnessy was assigned its 1770788721 on 2007-06-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Kevin William O'Shaughnessy's information last updated?
The Kevin William O'Shaughnessy's information was last updated on 2012-01-06.
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