MEDICARE: DR FRANCIS P ODAY DDS PC

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	:	1356532568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR FRANCIS P ODAY DDS PC

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	:	OWNER/PRESIDENT
Name	:	FRANCIS P ODAY
Credential	:	DDS
Telephone Number	:	716-565-0685

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	11/06/2013

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