MEDICARE: FRANCIS PATRICK O'DAY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0106X	Oral and Maxillofacial Pathology Dentistry	051392-1	NY

General Provider Information

NPI Number	:	1013022888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS PATRICK O'DAY DDS

Provider Business Mailing Address
First Line	:	1110 COLVIN BLVD
Second Line	:
City	:	TONAWANDA
State	:	NY
Zip	:	14223-1905
Country	:	US
Telephone Number	:	716-565-0685
Fax Number	:	716-877-8717

Provider Business Practice Location Address
First Line	:	1110 COLVIN BLVD
Second Line	:
City	:	TONAWANDA
State	:	NY
Zip	:	14223-1905
Country	:	US
Telephone Number	:	716-565-0685
Fax Number	:	716-877-8717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	11/06/2013

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