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NPI Code Detail

MEDICARE: DR. RODNEY EARL O'CONNOR D.M.D.

MEDICARE:  DR. RODNEY EARL O'CONNOR  D.M.D.
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
11223G0001XGeneral Practice Dentistry031742NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27252OTHERNYBLUE CROSS BLUE SHEILD

General Provider Information

NPI Number : 1164504593
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODNEY EARL O'CONNOR D.M.D.
Provider Business Mailing Address
First Line : 521 BEAHAN RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-3403
Country : US
Telephone Number : 585-436-1640
Fax Number : 585-436-5969
Provider Business Practice Location Address
First Line : 521 BEAHAN RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-3403
Country : US
Telephone Number : 585-436-1640
Fax Number : 585-436-5969
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/09/2007

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Directions to “ DR. RODNEY EARL O'CONNOR D.M.D.” Practice Location

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