Organization · Type 2 NPI
Blythe A O'Donnell, PLLC
Dental Clinic/Center · Manistee, MI
NPI number
1255846754
Active
Practice location
812 Cypress St
Manistee, MI 49660-2110
Fax (231) 723-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 18268 (MI) |
| Dental Clinic/Center | 261QD0000X | 11462 (MI) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Manistee
About NPI 1255846754
Blythe A O'Donnell, PLLC's National Provider Identifier is 1255846754, issued on Dec 6, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Manistee, MI. The record was last updated on Dec 6, 2017.