Michael T. O'Donnell, D.M.D, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

DN 16800 Issued in FL

Legal business name

MICHAEL T. O'DONNELL, D.M.D, P.A.

Practice address

870 Mack Bayou Rd
Ste. a
Santa Rosa Beach, FL 32459-7150

Phone

(850) 622-5888

Fax

(850) 622-0072

NPI assigned

Oct 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael O'Donnell, D.M.DNPI 1750478046

Title

President

Phone

(850) 622-5888

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael O'Donnell, D.M.D.

  • Dentist
  • Santa Rosa Beach, FL
  • NPI 1750478046
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356438659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MACK BAYOU RD",
            "address_2": "STE. A",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597150",
            "telephone_number": "850-622-5888",
            "fax_number": "850-622-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MACK BAYOU RD",
            "address_2": "STE. A",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597150",
            "telephone_number": "850-622-5888",
            "fax_number": "850-622-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T. O'DONNELL, D.M.D, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-622-5888",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 16800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.