Basic Information
| Provider Information | |||||||||
| NPI: | 1659525608 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | O' CONNOR | ||||||||
| FirstName: | ARTHUR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 E NEWTON ST | ||||||||
| Address2: | PROSTHODONTIC DEPARTMENT | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021182308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176384750 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 E NEWTON ST | ||||||||
| Address2: | PROSTHODONTIC DEPARTMENT | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021182308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176384750 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2008 | ||||||||
| LastUpdateDate: | 11/04/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223P0700X | 10386 | MA | Y | Dental Providers | Dentist | Prosthodontics |
No ID Information.