Dr Kenneth O'brien, DDS is a
Dentist - General Practice based in Rockton, Illinois. Dr Kenneth O'brien is licensed to practice in Illinois (license number ) and his current practice location is
213 W Main St, Rockton, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 624-2626.
NPI number for Dr Kenneth O'brien is 1063636884 and his current mailing address is 213 W Main St, Rockton, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063636884.
Healthcare Provider's Profile
Full Name | Dr Kenneth O'brien |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 213 W Main St, Rockton, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063636884
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Kenneth O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063636884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth O'brien is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kenneth O'brien, DDS 213 W Main St, Rockton, IL 61072-2418 Ph: (815) 624-2626 | Dr Kenneth O'brien, DDS 213 W Main St, Rockton, IL 61072-2418 Ph: (815) 624-2626 |
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