Provider Demographics
NPI:1215171277
Name:O'NEILL DENTISTRY, PLLC
Entity type:Organization
Organization Name:O'NEILL DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-894-5494
Mailing Address - Street 1:8 STILES RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2847
Mailing Address - Country:US
Mailing Address - Phone:603-894-5494
Mailing Address - Fax:603-894-7331
Practice Address - Street 1:8 STILES RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2847
Practice Address - Country:US
Practice Address - Phone:603-894-5494
Practice Address - Fax:603-894-7331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03705261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental