Provider Demographics
NPI:1316324759
Name:O'BRIEN, SEAN (DMD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 TREMONT ST STE 4
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-4750
Mailing Address - Country:US
Mailing Address - Phone:781-934-5292
Mailing Address - Fax:
Practice Address - Street 1:104 TREMONT ST STE 4
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-4750
Practice Address - Country:US
Practice Address - Phone:781-934-5292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-06
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18572201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice