| Michael T. O'donnell, D.m.d, P.a. | |
|
870 Mack Bayou Rd Ste. A Santa Rosa Beach FL 32459-7150 | |
| (850) 622-5888 | |
| (850) 622-0072 |
| Full Name | Michael T. O'donnell, D.m.d, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 870 Mack Bayou Rd, Santa Rosa Beach, Florida |
| Authorized Official Name and Position | Michael O'donnell (PRESIDENT) |
| Authorized Official Contact | 8506225888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T. O'donnell, D.m.d, P.a. 870 Mack Bayou Rd Ste. A Santa Rosa Beach FL 32459-7150 Ph: (850) 622-5888 | Michael T. O'donnell, D.m.d, P.a. 870 Mack Bayou Rd Ste. A Santa Rosa Beach FL 32459-7150 Ph: (850) 622-5888 |
| NPI Number | 1356438659 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356438659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN 16800 (Florida) | Primary |
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