# SU MCNEILL, DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** O'Keefe Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053853911
- **Authorized official:** BETH TELES (SR. CREDENTIALING SPECIALIST)
- **Authorized official phone:** (410) 710-6005

## Contact information

- **Practice address:** 1232 W LITTLE CREEK RD, NORFOLK, VA 23505-1952
- **Practice address phone:** (757) 440-7955
- **Practice address fax:** (757) 489-5834
- **Mailing address:** 1232 W LITTLE CREEK RD, NORFOLK, VA 23505-1952
- **Mailing address phone:** (757) 440-7955
- **Mailing address fax:** (757) 489-5834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401412524 | VA | Yes |

## Other

- **Enumeration date:** 11/09/2016
- **Last updated:** 11/09/2016