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JEREMIAH N. O'DWYER DDS LLC NPI 1770659138


NPI Information

NPI: 1770659138
Provider Name: JEREMIAH N. O'DWYER, DDS, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
15 MIDDLE TPKE W
MANCHESTER, CT
ZIP 06040
Phone: (860) 643-6992
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JEREMIAH N. O'DWYER, DDS, LLC is a general practice dentist in Manchester, CT. 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. JEREMIAH N. O'DWYER, DDS, LLC NPI is 1770659138. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15 MIDDLE TPKE W
MANCHESTER, CT
ZIP 06040-045
Phone: (860) 643-6992
Fax: (860) 645-1882

The provider's authorized official is Jeremiah N. O'dwyer .
The authorized official title is President and has the following contact phone number (860) 643-6992.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 4/9/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice008157CONNECTICUTYes

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

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