Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SEAN PATRICK CONNOLLY, DMD
ActiveDR. SEAN PATRICK CONNOLLY, DMD is a Periodontology healthcare provider located in FT POLK, Louisiana. NPI 1598997868 is currently active in the NPPES registry. Verify at CMS.
Periodontology · FT POLK, LA
Registration Details
- NPI Number
- 1598997868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2009 (16.950009605583 yrs)
- Last Updated
- Jun 13, 2013
- Licenses
-
DEN-10015 (CO)10015 (CO)
Practice Information
- Address
-
1585 THIRD STREETUSA DENTACFT POLK, LA, 71446Browse LA providers · Browse ZIP 71446
- Phone
- 3375314762
- Fax
- 3375316506
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.