Individual provider · Type 1 NPI

Kevin William O'Shaughnessy, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Jacksonville, FL

NPI number 1770788721 Active

Practice location

9640 Crosshill Blvd, Ste 101
Jacksonville, FL 32222-5854

Call (904) 404-4445 Map

Mailing address

210 11th Ave N Apt 102
Jacksonville Beach, FL 32250-7265

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN 16801 (FL)

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…

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About NPI 1770788721

Kevin William O'Shaughnessy, DMD's National Provider Identifier is 1770788721, issued on Jun 19, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 6, 2012.