O'Donnell, Frederick Robert

O'Donnell, Frederick Robert is an individual health care provider with primary practice located at 487 E 11Th Ave , Eugene OR 97401-3605. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. O'Donnell, Frederick Robert can be contacted via phone (541) 686-9740.

Contact Information

Primary practice address
487 E 11Th Ave Eugene OR 97401-3605
Phone: (541) 686-9740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 5126 Oregon

Profile Details

NPI number 1306973490
LBN Legal business name O'Donnell, Frederick Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
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 1306973490 NPPES
Other 709826 UNITED CONCORDIA

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