O'Shea, Peter D.

O'Shea, Peter D. is an individual health care provider with primary practice located at 111 Reef Rd , Fairfield CT 06824-5923. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. O'Shea, Peter D. can be contacted via phone (203) 259-8602.

Contact Information

Primary practice address
111 Reef Rd Fairfield CT 06824-5923
Phone: (203) 259-8602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 008293 Connecticut

Profile Details

NPI number 1366596298
LBN Legal business name O'Shea, Peter D.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Mar 28th, 2017 - about 9 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 1366596298 NPPES
Connecticut Other 06-1619657 TAX ID NO.

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