DR. Sean Patrick Connolly, DMD

NPI #1598997868 in Ft Polk, Louisiana

Provider Information

NPI Number: 1598997868
Entity Type: Individual
Name: DR. Sean Patrick Connolly, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DMD
Enumeration Date: Aug 20, 2009
Last Updated: Jun 13, 2013

Practice Location

Address: 1585 THIRD STREET
Address 2: USA DENTAC
City: Ft Polk
State: Louisiana
ZIP Code: 71446
Phone: (337) 531-4762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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