O'Connell, James Richard

O'Connell, James Richard is an individual health care provider with primary practice located at 117 N Washington St , Grand Forks ND 58203-3450. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. O'Connell, James Richard can be contacted via phone (701) 746-1481.

Contact Information

Primary practice address
117 N Washington St Grand Forks ND 58203-3450
Phone: (701) 746-1481
Fax: (701) 746-6201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1635 North Dakota

Profile Details

NPI number 1699879213
LBN Legal business name O'Connell, James Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699879213 NPPES
North Dakota MEDICAID 41259
North Dakota Other 1635

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