DR. STEPHEN PATRICK O'DONNELL DDS NPI 1669036505

NPI Information

NPI: 1669036505
Provider Name: DR. STEPHEN PATRICK O'DONNELL, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
5550 CARMEL MOUNTAIN RD STE 200
SAN DIEGO, CA
ZIP 92130
Phone: (619) 630-4000
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DR. Stephen Patrick O'donnell, DDS is a pediatric dentistry dentist in San Diego, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Stephen Patrick O'donnell, DDS NPI is 1669036505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5550 CARMEL MOUNTAIN RD STE 200
SAN DIEGO, CA
ZIP 92130-861
Phone: (619) 630-4000

The enumeration date for this NPI number is 4/25/2019 and was last updated on 10/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DDS104542	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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