Odonnell, Kurt J

Odonnell, Kurt J is an sole proprietor health care provider with primary practice located at 1050 Abbott Rd , Buffalo NY 14220-2400. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Odonnell, Kurt J can be contacted via phone (716) 824-9289.

Contact Information

Primary practice address
1050 Abbott Rd Buffalo NY 14220-2400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X O457851 New York

Profile Details

NPI number 1346382595
LBN Legal business name Odonnell, Kurt J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 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 1346382595 NPPES
New York MEDICAID 01709719

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