SEAN R O'BRIEN (NPI# 1154929594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154929594 |
| Entity Type | Organization |
| Organization Name | SEAN R O'BRIEN |
| Practice Address |
1716 S Lilley Rd Canton MI 48188-1108 |
| Practice Telephone | 7343975500 |
| Practice Fax Number | 7343942528 |
| Mailing Telephone | 7343975500 |
| Mailing Fax Number | 7343942528 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | SEAN ROBERT O'BRIEN (OWNER) |
| Authorized Official Telephone | 7343975500 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
1716 S LILLEY RD |
| City | CANTON |
| State | MI |
| Zip Code | 48188-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659322782 | Dennis L Mccormack | Chiropractor | 1716 S Lilley Rd, Canton, MI 48188-1108 | 2006-05-13 |
| 1598947434 | Mccormack Chiropractic, Pllc | Chiropractor | 1716 S Lilley Rd, Canton, MI 48188-1108 | 2007-12-03 |
| 1033236559 | Sean Robert Obrien | Dentist | 1716 S Lilley Rd, Canton, MI 48188-1108 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958603 | Inspire Dentistry Pllc | Clinic/Center | 43050 Ford Rd Ste 190, Canton, MI 48187-3359 | 2019-12-03 |
| 1730647272 | Epic Smile Centers of Michigan Pllc | Clinic/Center | 45001 Ford Rd # 104-d, Canton, MI 48187-2907 | 2019-03-04 |
| 1437573748 | Dentistry At Hickory Flat PC | Clinic/Center | 6199 Hickory Flat Hwy Ste 130, Canton, GA 30115-7255 | 2014-02-06 |
| 1811161060 | David N. Kam, D.d.s., P.C. | Clinic/Center | 155 N Canton Center Rd, Canton, MI 48187-2901 | 2008-04-18 |
| 1801919287 | Oakland Family Dental Care, Plc | Clinic/Center | 7184 Meadowbrook Dr, Canton, MI 48187-3552 | 2007-04-09 |
| 1407462187 | Canton Ardent | Clinic/Center | 45650 Ford Rd, Canton, MI 48187-5432 | 2020-09-18 |
| 1073146726 | Forever Smiles Orthodontics Pllc | Clinic/Center | 4227 S Canton Center Rd, Canton, MI 48188-2448 | 2020-02-20 |
| 1609439728 | Joseph Gondoly Dds PC | Clinic/Center | 44356 Cherry Hill Rd, Canton, MI 48187-3274 | 2019-04-15 |
| 1831693019 | Munson Dental and Facial Aesthetics | Clinic/Center | 4811 Munson St Nw, Canton, OH 44718-3614 | 2018-03-21 |
| 1275910226 | Williams Family Dental Group Inc | Clinic/Center | 4774 Munson St Nw, Suite 303, Canton, OH 44718-3634 | 2015-04-29 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.