DR. DANIEL SHANE O'BRIEN (NPI# 1235204116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235204116 |
| Entity Type | Individual |
| Full Name | DR. DANIEL SHANE O'BRIEN |
| Credential | D.D.S. |
| Practice Address |
74 Summer St Plymouth MA 02360-3457 |
| Practice Telephone | 5087467050 |
| Mailing Telephone | 5087467050 |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
16767 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284366 | Daniel Patrick O'brien | Student in an Organized Health Care Education/Training Program | 9 Watkins Ln, Southborough, MA 01772-2072 | 2020-08-06 |
| 1174180459 | Daniel N O'brien | Chiropractor | 113 W Division St, Arlington, WA 98223-1239 | 2019-05-22 |
| 1548659980 | Daniel O'brien | Student in an Organized Health Care Education/Training Program | 1800 W Superior St, 3s, Chicago, IL 60622-5611 | 2015-01-22 |
| 1275741829 | Daniel Eric O'brien | Internal Medicine | 928 W Mount Vernon St, Metamora, IL 61548-6004 | 2007-05-18 |
| 1538244025 | Daniel Patrick O'brien | Dentist | 1163 Inman Ave, Suite 103, Edison, NJ 08820-4511 | 2006-10-25 |
| 1154300804 | Daniel J O'brien | Dentist | 3796 Rochester Rd, Troy, MI 48083-5216 | 2006-01-11 |
| 1629619002 | Daniel Kevin O'brien | Nurse Practitioner | 180 Park Ave, Portland, ME 04102-2957 | 2019-10-07 |
| 1235690090 | Daniel Thomas O'brien | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2019-03-26 |
| 1730678665 | Daniel Thomas O'brien | Emergency Medicine | 7435 W Talcott Ave, Chicago, IL 60631 | 2018-05-07 |
| 1023512431 | Daniel O'brien | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2018-03-20 |
| Street Address |
74 SUMMER ST |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-3457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417034661 | Minnesota Maxillofacial and Oral Consultants | Dentist | 15600 36th Ave N Ste 100, Plymouth, MN 55446-3369 | 2006-11-01 |
| 1245253111 | Plymouth Oral & Facial Surgery, Plc | Dentist | 9416 S Main St, Suite 211, Plymouth, MI 48170-4157 | 2006-07-25 |
| 1982662821 | Dennie L Malone | Dentist | 133 Seaview Dr, Plymouth, MA 02360-8510 | 2006-05-02 |
| 1619947314 | William Peter Hoffmann | Dentist | 15655 37th Ave. N., 280, Plymouth, MN 55446-4000 | 2006-01-25 |
| 1528326428 | William Mcneely Lane | Dentist | 30 Resnik Rd, Plymouth, MA 02360-7211 | 2012-04-27 |
| 1578872685 | Minnesota Oral & Maxillofacial Surgery, P.a. | Dentist | 15655 37th Ave. N., 280, Plymouth, MN 55446-4000 | 2010-10-07 |
| 1376610352 | David Allen Aldrich | Dentist | 9416 S Main St, Plymouth, MI 48170-4157 | 2006-11-29 |
| 1194826917 | Metropolitan Oral and Maxillofacial Surgeons Pa | Dentist | 2855 Campus Dr, Ste 670, Plymouth, MN 55441-2649 | 2006-09-26 |
| 1407954761 | Lane Oral & Maxillofacial Surgery PC | Dentist | 30 Resnik Rd, Plymouth, MA 02360 | 2006-09-20 |
| 1831295369 | Norman J Betts | Dentist | 9416 S Main St, Suite 211, Plymouth, MI 48170-4157 | 2006-09-15 |
| Find all providers in PLYMOUTH | ||||
Please comment or provide details below to improve the information on DR. DANIEL SHANE O'BRIEN.
| 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.