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NPI Code Detail

MEDICARE: PAUL JAMES MC CONNELL DDS

MEDICARE:   PAUL JAMES MC CONNELL  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
1122300000XDentist12011762AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437312634
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL JAMES MC CONNELL DDS
Provider Business Mailing Address
First Line : 731 N GREEN RIVER RD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-2415
Country : US
Telephone Number : 812-476-3002
Fax Number : 812-476-3027
Provider Business Practice Location Address
First Line : 731 N GREEN RIVER RD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-2415
Country : US
Telephone Number : 812-476-3002
Fax Number : 812-476-3027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2008
Last Update Date : 09/26/2012

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Directions to “ PAUL JAMES MC CONNELL DDS” Practice Location

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