O'Brien, Patrick S.

O'Brien, Patrick S. is an individual health care provider with primary practice located at 5511 Raeford Rd Suite 203, Fayetteville NC 28304-2057. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. O'Brien, Patrick S. can be contacted via phone (910) 485-0023.

Contact Information

Primary practice address
5511 Raeford Rd Suite 203 Fayetteville NC 28304-2057
Fax: (407) 788-3572
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN16409 Florida

Profile Details

NPI number 1568422681
LBN Legal business name O'Brien, Patrick S.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 21st, 2011 - about 13 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 1568422681 NPPES
Florida MEDICAID 076996700

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