National Provider Identifier Database

COLLEEN M OBRIEN, DDS – NPI #1164716338
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

COLLEEN M OBRIEN, DDS
75 SPYROCK LOOP ROAD
LOOKOUT, WV25868
Phone: 304-574-2076
Fax: 304-574-1068
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Dentist 122300000X

* Indicates primary specialty

NPI Profile & details for COLLEEN M OBRIEN

NPI Number 1164716338
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/06/2011
Last updated 10/02/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 30-023656
  • WV License #: 4123
  • WV Medicaid: 3810028195
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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