O'Dea, Kevin M

O'Dea, Kevin M is an individual health care provider with primary practice located at 10 Sierra Gate Plz Suite 190, Roseville CA 95678-6645. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. O'Dea, Kevin M can be contacted via phone (916) 786-3303.

Contact Information

Primary practice address
10 Sierra Gate Plz Suite 190 Roseville CA 95678-6645
Phone: (916) 786-3303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 39553 California

Profile Details

NPI number 1649397480
LBN Legal business name O'Dea, Kevin M
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2007
Last updated Jul 8th, 2007 - about 17 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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