O'Dell, Daniel Shaun

O'Dell, Daniel Shaun is an individual health care provider with primary practice located at 7800 N Mo Pac Expy Suite 310, Austin TX 78759-8900. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. O'Dell, Daniel Shaun can be contacted via phone (512) 346-6097.

Contact Information

Primary practice address
7800 N Mo Pac Expy Suite 310 Austin TX 78759-8900
Phone: (512) 346-6097
Fax: (512) 346-8135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 16531 Texas

Profile Details

NPI number 1598971087
LBN Legal business name O'Dell, Daniel Shaun
Credentials D.D.S.,M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598971087 NPPES
Texas Other 1720195498 CORPORATION

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