COLLEEN M O'BRIEN D.D.S. NPI 1164716338

NPI Information

NPI: 1164716338
Provider Name: COLLEEN M O'BRIEN, D.D.S.
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
Address: 75 SPYROCK LOOP ROAD
LOOKOUT, WV
ZIP 25868
Phone: (304) 574-2076

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NPI Details

Colleen M O'brien, D.D.S. is a general practice dentist in Lookout, WV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Colleen M O'brien, D.D.S. NPI is 1164716338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

75 SPYROCK LOOP ROAD
LOOKOUT, WV
ZIP 25868
Phone: (304) 574-2076
Fax: (304) 574-1068

The enumeration date for this NPI number is 6/6/2011 and was last updated on 10/2/2015.

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	122300000X	Dentist		30-023656	OHIO	No
2	1223G0001X	Dentist	General Practice	4123	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3810028195	MEDICAID	WEST VIRGINIA
2	WV5033A	MEDICARE UPIN	WEST VIRGINIA

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: 11/21/2025

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