Individual provider · Type 1 NPI
Brian Costello O'Leary, DMD, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Irmo, SC
Practice location
1544 Old Tamah Rd
Irmo, SC 29063-9000
Fax (803) 732-5985
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 3493 (ORTHO-542) (SC) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1356569107
Brian Costello O'Leary, DMD, MS's National Provider Identifier is 1356569107, issued on Apr 24, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Irmo, SC. The record was last updated on Jul 8, 2007.