Kenneth O'Brien, DDS

General Practice Dentistry · Rockton, IL

Individual Active NPI

NPI number 1063636884

Practice location

213 W Main St
Rockton, IL 61072-2418
Phone
(815) 624-2626
Fax
(815) 624-7821

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NPI record

NPI
1063636884
Entity type
Individual (Type 1)
Enumeration date
April 12, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

About Dr. O'Brien

Kenneth O'Brien, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 213 W Main St, Rockton, IL 61072-2418. The NPI number 1063636884 was assigned on April 12, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Kenneth O'Brien, DDS?

The NPI number is 1063636884.

What is the phone number of Dr. O'Brien?

The phone number listed for the practice location is (815) 624-2626.

Where is Dr. O'Brien located?

213 W Main St, Rockton, IL 61072-2418.

What is the taxonomy code for Dr. O'Brien?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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